Members

Litter registration form

Complete all details below carefully.
After that you'll receive an email with all the payment information.

Breeder number* Please, enter your breeder number here

Breeder name* Please, enter your breeder name here

First* Please, enter your first here

Last* Please, enter your last here

Email Address* Please, enter your email address here

Mobile Please, enter your mobile here

Dame of Litter* Please, enter your dame of litter here

ALAEU-nr. Dame* Please, enter your alaeu-nr. dame here

Sire of Litter* Please, enter your sire of litter here

ALAEU-nr. Sir* Please, enter your alaeu-nr. sir here

Name owner* Name owner sire Please, enter your name owner here

Date 1st mating* Please, enter your date 1st mating here

Date of birth puppies* Please, enter your date of birth puppies here

Number of puppies* Please, enter your number of puppies here

Comments Please, enter your comments here

Name* This field is mandatory

Microchip nr.* This field is mandatory

Gender* This field is mandatory

Size* This field is mandatory

Color* This field is mandatory

Coat* This field is mandatory

Entire - Contract or Desexed* This field is mandatory

Price A litter registration costs €20 per puppy Please, enter your price here

Aantal A litter registration costs €20 per puppy Please, enter your aantal here

Cost total Please, enter your cost total here

Payment Method Please, enter your betaalmethode here

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Fields marked with an asterisk (*) are considered mandatory.