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NRTR

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.National Rat Terrier Registry
CERTIFICATE/PEDIGREE APPLICATION LONG FORM
PRINT - FILL OUT AND SEND TO:
NRTA
26 Park Drive
Rocky Hill, CT 06067-1717
Phone 860-563-2293
Questions? E-mail nrta@cox.net
Registration fees are listed below on the Fee Schedule.

SECTION A. Description of Dog
Breed of Dog___________________Sex_______Eye color_______________Nose color_____________

Coat color__________________________Date of Birth____________________Weight___________
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(Circle One) Patterns/Markings- 1.Tri-Colored 2.Patches of Color 3.Solid 4.White blaze-collar-boots-chest
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(Circle One) Type A____________Type B ___________
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Breeders Kennel Name__________________________Reg. #(if previously registered)_______________
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Toy under 10lbs_______ Mini 10-18lbs________Standard 18-28lbs_______ Decker Giant 22-40lbs______
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Name of Dog being recorded. Submit 2 different choices. Leave a space between words. If dog is already registered with another association, the name must remain the same.
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1st choice ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __
2nd choice ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __
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SECTION B Information on Owner(s)
Name of Owner____________________________________Address_____________________________

City_____________________________________________State______________Zip_______________

Email____________________________________________

Phone#________________________________Signature_______________________________________

Name of Co-Owner_________________________________Address_____________________________

City_____________________________________________State______________Zip______________

Phone#________________________________Signature______________________________________
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SECTION C REQUIRED Information on Breeder or Person dog was obtained from
Name of Breeder/Kennel Name _________________________________Phone_____________________

Address_____________________________City_________________State________Zip____________

SECTION D (On Next Page) Pedigree information. In the Coat Color boxes below, write in ALL the colors of your dogs coat and circle the letter that best describes the dogs coat patterns/ markings. Refer to the shaded box in the upper left hand corner of the application for descriptions of patterns/markings.

SECTION D PATTERNS/MARKINGS (A) solid	Name of Grand sire	Name of Great Grand sire
(B) patches/spots of color ( piebald) (C) Tri colored (3 colors on coat)	Coat Color Pattern A B C D	Coat Color Pattern A B C D
(D) white blaze, collar, boots, chest (No patches of color)	Nose Color
Name of Sire	Date of Birth	Name of Great Grandam
Coat Color Pattern A B C D	Reg#	Coat Color Pattern A B C D
Nose Color	.
Date of Birth	Name of Grandam	Name of Great Grand sire
Reg#	Coat Color Pattern A B C D	Coat Color Pattern A B C D
Size(Circle One) Toy-Mini-Standard-Decker	Nose Color
.	Date of Birth	Name of Great Grandam .
	Reg#	Coat Color Pattern A B C D
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	Name of Grand sire	Name of Great Grand sire .
	Coat Color Pattern A B C D	Coat Color
	.	Nose Color
Name of Dam	Date of Birth	Name of Great Grandam
Coat Color Pattern A B C D	Reg#	Coat Color Pattern A B C D
Nose Color	.
Date of Birth	Name of Grandam	Name of Great Grand sire
Reg#	Coat Color Pattern A B C D	Coat Color Pattern A B C D
Size(Circle One) Toy-Mini-Standard-Decker	Nose Color
	Date of Birth	Name of Great Grandam
	Reg#	Coat Color Pattern A B C D

Enter the letter for the type of pedigree/certificate requested from the Fee Schedule_____.
Please include Fee for chosen pedigree/certificate.
Amount enclosed____________.

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FEE SCHEDULE

PHOTO REGISTRATION FEES:

A - $10.00 for Photo I. D. Certificate (new registration) with dog or puppies picture on it.
B - $12.00 Photo I.D. Certificate listing Sire and Dam
C- $15.00 for Photo I. D.Certificate with 2 Generation Pedigree
D- $20.00 Dog/Pup, Sire and Dam Photo Pedigree Certificate
E - $30.00 Dog/Pup, Sire, Dam and Grandparents Photo Pedigree Certificate (if available)
Note: Photo(s) must be submitted along with registration fee. Photo(s) must be at least 3" x 5",Clear
and showing full view of dog, no Polaroid's accepted. All photos and registrations become the sole property of the NRTR and can not be returned.
FEES:(non-photo registration).
F - $8.00 for Registration Certificate
G- $10.00 for 2 generations
H- $15.00 for3 generations
I - $20.00 for 4 generations
J -$30.00 for 5 generations
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LITTER REGISTRATION FEE:
$5.00 per litter to cover postage and materials if mailed in.
Proper registration fee must be received in the mail before the application can be processed.