PEDIGREE Order Form

CANINE FAMILY TREE - (800)417-5395

Fax (610)326-6612- Voice (610)327-1309- www.caninefamilytree.com

Post Office Box 756, Pottstown, Pennsylvania 19464-0756

PLEASE PRINT ALL INFORMATION

Mail Pedigree to:

Name: __________________________________________________________________________Date:___________________

Address: _______________________________________________________________________________________________

City: ___________________________________________________ State: ________________  ZIP:____________________

E-Mail address: ___________________________________________________________________________

IMPORTANT: Your telephone area code & number: _______________________________________________

Include earned titles and OFA numbers for Dog, Sire & Dam. Send copy of AKC Registration Certificate and copies of Import and/or pedigree if available. Print, FAX or POSTAL MAIL this order form to us. For faster service order on line at www.caninefamilytree.com - If you are faxing or have questions please call us toll free at 800-417-5395 and confirm that we received your order okay. Visa and MasterCard accepted.

Name of dog: ___________________________________________________________________________ AKC NO: _____________________

Dog DNA No:____________________________________Dog OFA No:________________________

Breed: _________________________  Sex:________ Color:___________________________________ Birth Date: ______________________

Sire: __________________________________________________________________ AKC NO: ________________________ Date( )*

Sire DNA No:_________________________________________________Sire OFA No:_______________________________________

Dam: ________________________________________________________________ AKC NO: ________________________ Date( )*

Dam DNA No:________________________________________________Dam OFA No:______________________________________

*IMPORTANT: Include dates in parenthesis after sire and dam AKC numbers.

Owner: ________________________________________________ Breeder: __________________________________________________

SELECT GENERATIONS REQUESTED AND ENTER NUMBER OF DUPLICATE CERTIFICATES REQUIRED.

	5 Generations (63 DOGS – 11” X 15.5”) $30.00	__________ 5 Gen Duplicates @ $10.00 each
	6 Generations (127 DOGS – 20.5” X 15.5”) $50.00	__________ 6 Gen Duplicates @ $10.00 each
	7 Generations (254 DOGS – on 2 six gen forms) $100.00	__________ 7 Gen Duplicates @ $20.00 each
	8 Generations (506 DOGS – on 4 six gen forms) $200.00	__________ 8 Gen Duplicates @ $40.00 each

Add $3.00 for shipping and handling. Pennsylvania residents add 6% Pa sales tax. Do not send cash. Please make check or money order payeble to “CANlNE FAMILY TREE, Ltd.” Money back satisfaction guaranteed. Enter your special instructions or comments below: (use back of this form for more space)_______________________________________________________________________________

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(Tell your friends - Please feel free to reprint and distribute this order form.).

Thank You for Your Order!