APPLICATION FOR DUPLICATE REGISTRATION

Mail to: Rapid Reply Registry

P.O. BOX 499 Olivia, North Carolina 28368 (919) 498-2647

Please fill out this application to the best of your knowledge.

Anything unknown please leave the space blank.

All owner information asked for in section # 1 must be the same owner as listed in the R.R.R. files. If you are not the owner listed in the R.R.R. files, please fill out section # 2 as the new owner.

SECTION #1 I, ______________________

of _______________________________

(registered owner(s) – print name ((registered owner(s) street address – �� new �� same)

City __________________________, State ____________ Zip ___________, request a Duplicate Registration Certificate

For __________________________________.R.R.R. Registration Number ____________________________

(Dog’s registered name given by breeder) (Dog’s Registered Number)

The dog’s birth date is _____/ _____ / _____ the dog’s color is: ____________________ Sex: �� Male �� Female

Month Day Year

Registered owner’s signature ____________________________________________

E-mail______________________________________

 Phone # (______) ___________-_________________

I am requesting a duplicate copy because the original was (please check one) �� Lost �� Stolen �� Destroyed �� Other _______________________________________________

(Explanation)

Sire’s registered name______________________________________ registration number__________________________

Dam’s registered name_____________________________________ registration number__________________________

 SECTION #2: If you have the dog but NEVER transferred it into your name before the papers were lost, stolen or destroyed, please have the person you bought/received the dog from fill out this BILL OF SALE

I,_____________________Have sold my interest of the above listed dog

To ________________________on this date: _____/ _____ / _____

                                                                                            Please print Month Day Year

Seller’s signature_______________________________________.

(must be same owner as listed in section #1) both the sellers signature and breeders signature lines MUST be signed for name change)

Breeder’s signature for name change _______________________________________________ name change allowed? Yes �� no��

(Both the seller’s signature & breeder’s signature lines MUST be signed to change the dog’s name)

Buyer’s signature_____________________________________________ new desired name (if allowed) ______________________

Name: (please print) ___________________________________________

Address:__________________________city/state:_____________zip:_________

E-mail______________________________________

phone # (______) ___________-__________________

THE COST FOR DUPLICATES ARE:

Duplicate Registration only …………..................$8.00 ��

Duplicate w/ transfer of ownership………..……$15.00 ��

Duplicate w/ 4 generation pedigree…............... $15.00 ��

Duplicate w/ 6 generation pedigree ………........$25.00 �� 

Show & Pull ID card….……………….................$5.00 ��

**All duplicates w/ pedigrees include transfer of ownership pricing. **

Application blanks. �� Type of blanks here _____________________________________