Duplicate Registration Application | Professional Kennel Club, LLC

1. Download the form using the link below
2. Print and fill out the form
3. Mail the completed form to the specified address

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I, do hereby certify that I am the true owner of the following named dog, and the PKC registration papers on said dog have been lost:

Replacement Fee(Required)

$25

Credit Card Processing Fee(Required)

Price:

Dog's Name(Required)

Name

PKC #

Owner's Name(Required)

Name

PKC #

Owner’s Signature

Name

Account #

Type Your Full Name to Sign

Your Email(Required)

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Replacement Fee

Total

Type Your Full Name to Sign(Required)

Signature

Total

Credit Card(Required)

Card Number, Expiration Date, and CVC

Cardholder Name

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Professional Kennel Club, LLC