IOEBA Registered Kennel Application




Register your exclusive kennel name with the IOEBA by using this registration form. LIFETIME conditional kennel registration includes special kennel benefits. Registration benefits including sole and exclusive rights of the use of your kennel name with the IOEBA registration office and on all future IOEBA advertising (Example: Rio Bravo Bulldogges, dog is named Rio Bravo's Jack Pot), priority on processing registration paperwork and free listing on the IOEBA website roster as an IOEBA registered kennel.

    Kennel Name (1st. Choice):
If first choice is unavailable second choice will be used.
    Kennel Name (2nd. Choice):
    Website Address:
    Breed of Dog(s): *
    1st. Applicant's Name: *

First

Last
    Phone Number: *

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    Email Address:
    2nd. Applicant's Name:

First

Last
    Phone Number:

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    Email Address:
    Mailing Address: *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
    One Time Registration Fee: *
 $100 
    Kennel Registration with the
    United Canine Association:
 $50 (50% Off) 
    Laminated Certificate:
 $5 (Additional) 
    Credit Card Number:
    Credit Card Expiration Date:
    Credit Card Security Code:
    (3 digit number on the back
    of the card)
    Name on the Credit Card:
    Additional Information:

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