Online Litter Registration Application - International Olde English Bulldogge Association

IOEBA Litter Registration Application

IOEBA Litter Registration Application

Breed of Dog: *

Bloodline:

Litter's Date of Birth: *

IOEBA Registered Name of Sire: *

Sire's IOEBA Registration Number: *

Name of Owner of Sire: *

First
Last

Owner of Sire's Phone Number: *

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Owner of Sire's Email: *

Owner of Sire's Address: *

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country

IOEBA Registered Name of Dam: *

Dam's IOEBA Registration Number: *

Dam / Litter Owner's Name: *

First
Last

Litter Owner's Phone Number: *

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Litter Owner's Email Address: *

Your Website Address:

Litter Owner's Address: *

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country

Number of Male Pups in Litter: *

List all male pups / color: *
Please list the dominate color first and the secondary color last.

Some examples are:
1. Brown / White
2. Black / White
3. White / Red

Number of Female Pups in Litter: *

List all female pups / color: *
Please list the dominate color first and the secondary color last.

Some examples are:
1. Brown / White
2. Black / White
3. White / Red

Litter Registration Fee: *
$20 - Under 6 months of age

$30 - Over 6 months of age

Breeder's Pedigree of Litter:
$15 - 3 Generation

$25 - 3 Generation w/ photo insert

$25 - 4 Generation

$35 - 4 Generation w/ photo insert

$35 - 5 Generation

$45 - 5 Generation w/ photo insert
Please provide photo when needed for photo insert pedigrees.

Laminated Pedigree (Additional):
$8

Rush Processing:
$10 - Rush Processing (5 Business Days)

$15 - Super Rush Processing (3 Business Days)

IOEBA Logo - 8" window decal:
$8

Overseas / Canadian Mailing:
$5

Litter Classified Ad:
$20 (30 day litter listing on the IOEBA website)

Date Application Submitted: *

MM /
DD /
YYYY

Total Payment Due: *
If not paying via credit card please contact us at (417) 924-2295 to make required payment.

All applications are destroyed within 48 hours if payment is not received.

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:
If your placing a litter listing on the IOEBA
website please include the cost of the pups and
whether you will ship at the buyers expense in
the box to the right.

All applications are property of the IOEBA. All personal information is confidential and will remain as such.

Applicants will be approved or denied at the discretion of the IOEBA.