order


CHAMPIONS AND TITLES
SHOWN IN RED
 Dog Lover's Pedigree Service 

COLORS THRU NEXT TO
LAST GENERATION
WHEN AVAILABLE
NAME OF DOG:   SEX: 
AKC.  REG. NO:    BREED: 
COLOR:             DATE OF BIRTH:
IMPORTANT: Include dates shown in parenthesis after AKC. Reg. No.
SIRE:   AKC. REG. NO:   DATE: ( )   DAM: AKC. REG. NO:    DATE: ( )
SELECT ONE:                                     SIZE
 3 GENERATIONS - $10.00       10-3/4" x 9-1/4"
4 GENERATIONS - $15.00         10-3/4" x 9-1/4"
5 GENERATIONS - $22.00       12" x 16"
6 GENERATIONS - $40.00       11-1/2" x 25"
7 GENERATIONS - $80.00       13-1/2" x 38"

- plus shipping (see page 2 for details)
MAIL TO:
Name:              
Address:
City:            State:    Zip:
Phone #:   

EMAIL ADDRESS (required):
CONFIRM EMAIL (required):
METHOD OF PAYMENT
Payment Instructions will follow on the next page
 Check  Money Order   Paypal    
You may direct inquiries to
Darla Duffey at (904) 262-5420.
THANK YOU!

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