Application for breeder listing in

COLORADO’S HEALTH TESTING BREEDERS

(All-Breed Directory)

 

Please return to Jeanne Cook, Black Dobe LLC, PO Box 460014, Aurora, CO

80046  303-548-3238 jeannecook99@yahoo.com   www.legendary.ws

 

Breed___________________________________________  Stud?___ Puppies?___  Adults?___

 

Name_________________________________________ Kennel name_____________________

 

Street address______________________________________ Do publish___  Do not publish___

 

City________________________________________________  State_________  Zip________

 

Telephone____________________________  Email___________________________________

 

Website  www._________________________________________________________________

 

How long have you been in this breed? ___________________  Offer written guarantees?_____

 

Member of this breed’s national club?_______________________________________________

 

Member of this breed’s local club?__________________________________________________

 

Is this breed your only breed? ___________________  If not, what other breeds do you breed?

 

______________________________________________________________________________

 

Testing that you do on parents before breeding:________________________________________

 

______________________________________________________________________________

 

Testing that you do on puppies before sale:___________________________________________

 

______________________________________________________________________________

 

If you have a CHIC dog, please list its full name

(including titles), and CHIC #______________________________________________________

 

 

Applicant hereby certifies that the above information is true and states: (1) I breed a maximum of 3 breeds; (2) I produce litters only occasionally; (3) I do not sell puppies to pet shops or in litter lots. I request that the above information be listed in the hard copy publication (and also online) and acknowledge that Black Dobe LLC’s liability is limited to the amount that I paid for annual listing fee.  Applicant acknowledges that Black Dobe LLC reserves the right to refuse or pull any listing (and refund Applicant’s listing fee) at its sole discretion.

 

_____________________________________________________   _______________________

                                    Applicant                                                                      Date