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Get ADBA Application For Single Dog Registration Or Dual Registration 2017-2024

Breed_____________________________________________________ Sex______________________________ Color____________________ Date of Birth: Month_______________ Day________Year____________ Seller’s Signature_________________________________________ (if not available include copy of bill of sale)) Owners Signature X_______________________________________ I certify this information to be correct to the best of my knowledge and belief. Office use only. ____________________________ CA# __________.

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