UDC Registry
UDC Registry
c/o Linda Kurz
3640 Yellow Dog Road
Lonedell, MO 63060
Home Telephone: (636)629-4553
UDC Registry email address: registry@uniteddobermanclub.com
Information Required For Registration: Your Name __________________________________________________________________________________ Your Address __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Home Phone (____) ____ _____ Work Phone (____) ____ _____ Email Address (if available) _________________________________________________________________________ Personal Website Address (if available) _________________________________________________________________________ Please supply the following information for EACH dog you wish to register ($40.00 fee for each dog). Dog's Registered Name __________________________________________________________________________________ ___________________________________________________________________________________ Color _____________________________________________________ Sex _________________________________________________ Date Whelped __________________________________________ AKC# ________________________________________________ CKC# ________________________________________________ Tattoo# (if available)___________________________________ Microchip # (if available) ________________________________ Breeder _________________________________________________________________________________ _________________________________________________________________________________ Health Statistics (must be documented) __________________________________________ _________________________________________________________________________________ Title or Championships (must be documented) _____________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Other registries in which the dog is entered (Document? Number?) ________________ _________________________________________________________________________________ _________________________________________________________________________________ Enclose a copy of pedigree (certified, if possible) _____________________________ Total Enclosed $__________________ UDC is now accepting payment by Visa and Mastercard. Accounts will be debited in $US. Please provide the following information: Visa_____ Mastercard _____ _______________________________________________ Card Number ______________________________ Card Expiry Date _______________________________________________Cardholder's SignatureBack to the UDC Doberman Registration Page