International Progressive Dog Breeders' Alliance
Setter Litter Registration

Date of Breeding_____/______/_____		Date of Birth_______/_______/______
Breed__________________________		Breed___________________________
Sire ___________________________		Dam____________________________
Reg.#___________________________		Reg.#___________________________
Owner’s Signature_____________________		Owner’s Signature______________________
Printed Name_________________________		Printed Name__________________________
Address_________________________		Address_________________________
City_____________State____Zip_____		City_____________State____Zip_____
Phone__________________________		Phone__________________________
Email__________________________		Email__________________________
COLOR                      SEX		COLOR                      SEX
1._________________    ___		7.__________________   ___
2._________________    ___		8.__________________   ___
3._________________    ___		9.__________________   ___
4._________________    ___		10._________________   ___
5._________________    ___		11._________________   ___
6._________________    ___		12._________________   ___

Submit this form completed with $15.00 to the registry office below. The owner of the dam will receive a blue puppy registration for each puppy in the litter. Blue puppy papers must be kept or transferred and later submitted for permanent registration.

Make checks out to: IPDBA

IPDBA  P.O. Box 311 Upton, KY 42784 Phone (270) 531- 3662 Email: ipdbaregistry@gmail.com

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