BACK NRTA
APPLICATION TO BE LISTED AS A BREEDER
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Name____________________________________Address____________________________________
 

City, State, Zip_______________________________________________________________________
 

Phone #____________________________________Email____________________________________
 

What is your kennel name_______________________________________________________________
 

How many dogs do you own________What sizes do you raise___________________________________
 

Type A__________________________ Type B________________________
 

What colors do you raise________________________________________________________________
 

Length of time breeding dogs______________Are all your dogs registered with the NRTR______________
 

Are they registered with anyone else, if yes what kennel club______________________________________
 

What got you started as a Rat Terrier Breeder________________________________________________
 

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What is the purpose of your breeding program________________________________________________
 

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Do you agree to an inspection from a NRTA State Inspector or any other Official of the NRTA___________

Please submit a copy of your Sellers Contract/Your Health Guarantee, sign below and
Return to: NRTA  26 Park Drive  Rocky Hill,  CT  06067-1717.

Signed_____________________________________________Date______________________________