TATTOOER APPLICATION

For ADA office use only: Received ______ $ ____ Check # ____

  
 

The American Dobermann Association preserves the Dobermann breed as protection, family companion, and working dog, according to FCI Standard

Send application & payment to: ADA - Po Box 2231 - Snohomish, WA 98291 -USA.
Please make money order or cashier's check in US funds, payable to ADA

First Name Last Name ADA Member Nr.

Address Phone

Individual Code (for Single Dobermann) - - - - - For Individual Code Only - - - - - - - - - - -

Dog's Name Female Male

Registration Nr. WT / DOB Color

Sire Reg. Nr.

Dam Reg. Nr.

Breeder Country

Breeder Code (for Multi Litter) - - - - - - - - For Breeder Code Only - - - - - - - - - - - - - -

Kennel Name Years of Breeding

Approx. Nr. of puppy annually Already used another Tattooer Code Yes No

With form & fee, please send the followings:
Copy of official registration and official 3-generation pedigree (Individual Code)

Owner/Breeder Statement: I, the undersigned, agree to abide by By-laws, rules, and regulation of American Dobermann Association (ADA). I shall do my best to uphold its purpose of promoting and preserving the natural talents of the Dobermann breed as protection, family companion, and working dog, according to the FCI Standard. I shall use my tattooer code with integrity. All entries made in this application are true and correct.

Signature: _________________________________________ Date: ___ / ___ / ___