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ACKCSC ROM DAM APPLICATION

AKC Name*

AKC Number

Date of Birth (MM/DD/YYYY)*

Name of Owner(s)*

Address

City

State

Zip

Email*

Name of Breeder(s)*

Breeder E-mail*

Champion 1*

Champion 2*

Champion 3*

Champion 4*

Champion 5*

Attach 3-Generation Pedigree AKC & AKC Recognized Titles Only (.pdf or .jpg only)

Attach 300 DPI .jpg Photo

Additional Plaque(s) $50 each

Thank You for your ROM Dam Application!

Events

National Specialties

National Specialty Results

-- Dam Nomination

-- Individual Puppy Nomination

Regional Specialty Results

-- 2009 Javit Center

-- 2010 Javit Center

-- ROM Sire Application

-- ROM Dam Application

-- LOM Sire Application

-- LOM Dam Application

-- APA Application

-- ACKCSC Versatility Award Application


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