AGREEMENT
FOR LIMIT REGISTER PEDIGREE
I am agreeing to the adoption of a puppy/dog being registered on Limit Register and I am also supplying information of my membership details of the Kennel Association of which I am a member on this form. I will return this form before the final transaction of the adoption fee being paid, no later than five working days from the date upon which this form is signed.
NAME OF PURCHASER:.....................................................................................................
ADDRESS OF PURCHASER:...............................................................................................
............................................................................................................................................
CONTACT PHONE NUMBERS:............................................................................................
(Including home phone)
DATE:.................................................................................................................................
FULL KENNEL ASSOCIATION MEMBERSHIP NUMBER AND
DETAILS:...........................................................................................................................
FULL NAME AND ADDRESS OF KENNEL ASSOCIATION IN THE STATE OF
RESIDENCE: ......................................................................................................................
.............................................................................................................................................
This document is signed before a Justice Of The Peace (doctor,vet. chemist, police) as validation of signature being that of the purchaser.
This agreement has been signed before me…………………………….................................
(Name Printed)
Being of………………………………………………………………….................................
(Location and or company name)
On this day:.....................................................................……………………………………………………
(Date the signature is witnessed)
Print all necessary forms (TEXT ONLY) and complete as stated, scan completed forms and email them back in a PDF format. Download Adobe Reader for free here: http://www.adobe.com/products/reader/ Or alternatively, send all relative forms once completed and signed to Anne Muscat Smythesdale LPO, PO Box 24 Smythesdale 3351. The Health Policy must accompany the contract from either, main register, limit register, or no register and must be sent before the final completion of adoption - the sale of the puppy.
I am agreeing to the adoption of a puppy/dog being registered on Limit Register and I am also supplying information of my membership details of the Kennel Association of which I am a member on this form. I will return this form before the final transaction of the adoption fee being paid, no later than five working days from the date upon which this form is signed.
NAME OF PURCHASER:.....................................................................................................
ADDRESS OF PURCHASER:...............................................................................................
............................................................................................................................................
CONTACT PHONE NUMBERS:............................................................................................
(Including home phone)
DATE:.................................................................................................................................
FULL KENNEL ASSOCIATION MEMBERSHIP NUMBER AND
DETAILS:...........................................................................................................................
FULL NAME AND ADDRESS OF KENNEL ASSOCIATION IN THE STATE OF
RESIDENCE: ......................................................................................................................
.............................................................................................................................................
This document is signed before a Justice Of The Peace (doctor,vet. chemist, police) as validation of signature being that of the purchaser.
This agreement has been signed before me…………………………….................................
(Name Printed)
Being of………………………………………………………………….................................
(Location and or company name)
On this day:.....................................................................……………………………………………………
(Date the signature is witnessed)
Print all necessary forms (TEXT ONLY) and complete as stated, scan completed forms and email them back in a PDF format. Download Adobe Reader for free here: http://www.adobe.com/products/reader/ Or alternatively, send all relative forms once completed and signed to Anne Muscat Smythesdale LPO, PO Box 24 Smythesdale 3351. The Health Policy must accompany the contract from either, main register, limit register, or no register and must be sent before the final completion of adoption - the sale of the puppy.