DVG Scorebook Order Form

DOG NAME
SEX
DOG DATE OF BIRTH

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
COLOR
BREED
MICROCHIP / TATTOO
DOG REGISTRATION NUMBER
DOG SIRE
SIRE REGISTRATION
DOG DAM
DAM REGISTRATION
OWNER NAME

First NameLast Name
DVG MEMBERSHIP #
OWNER ADDRESS

Street Address

Street Address Line 2

CityState /Province

Zip Code
OWNER PHONE
Please enter a valid phone number.Format: (000) 000-0000.
OWNER EMAIL
example@example.com
UPLOAD DOG OWNERSHIP / REGISTRATION PAPERS HERE

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DOES THIS DOG HAVE AN EXISTING DVG SCOREBOOK?
UPLOAD EXISTING SCOREBOOK TITLES HERE

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DVG CLUB
CLUB OFFICIAL'S NAME

First NameLast Name
CLUB OFFICIAL'S EMAIL
example@example.com
ATTESTATION

By submitting this form, I confirm that all information provided is true and accurate to the best of my knowledge. I further confirm that the documents uploaded are authentic copies of the dog’s registration and ownership records. I understand that this information will be used for the issuance of a competition record (Scorebook) and may be reviewed by club officials and the LV DVG-America administration.
My Products
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NEW Scorebook

$18.00 Quantity

SUBSEQUENT Scorebook
If your current DVG Scorebook is full and you need an additional book, select this option. This DOES NOT apply to lost or missing scorebooks.

Free

Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
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