American Canine Hybrid Club

Welcome to the American Canine Hybrid Club!

Online Hybrid Litter Registration

Please fill out the form below and submit it.
Litter Registration is $7.00 plus $1.00 for each puppy - NOTE Price Change as of 01/01/2005!.
Once we process your registration, it will be sent out immediately.

Breed:
Date Of Birth:
Number of Males:
Number of Females:
Total Amount For Registration (Please Add $7.00 Plus Total # of Puppies):
Sire's ACHClub Name:
Sire's ACHClub Number:
Dam's ACHClub Name:
Dam's ACHClub Number:
Your Name:
Your Street Address:
Your City:
Your State:
Your Zip Code:
Your Phone Number:
Your Fax Number:
Your E-Mail Address:
ACHClub Breeder ID #:
Would You like to add a pedigree? ($7.00 Plus $1.00 per Puppy - Enter Yes or No):
Total Amount For Pedigree (Please Add $7.00 Plus $1.00 per Puppy):
Do You Agree to all of the ACHClub's Terms and Conditions? (Enter Yes or No):
Total Amount For This Registration (Please Add Total Litter Registration Plus Pedigree Total):
Are You Selling direct To The Consumer? If Yes we will include a consumer pamphlet for each puppy (Enter Yes or No):
Your Credit Card Number:
Expiration Date :
Type of Credit Card - Mastercard and Visa ONLY :
Additional Comments:
Do You Also Own The Sire? (Enter Yes or No) If Yes, skip the Sire Info and submit the registration:
Sire Owner's Name As Listed With ACHClub
Sire Owner's ACHClub Breeder ID #
Sire Owner's Phone Number
Sire Owner's Street Address
Sire Owner's City
Sire Owner's State
Sire Owner's Zipcode
Sire Owner's E-Mail Address
Human simple math test: What does 11 plus 7 =	<=== Answer to submit.