Make a copy of this form and follow the instructions

Application for Duplicate of Lost or Stolen ABA Registration Certificate

Complete section A if the dog is registered in your name and you know the ABA registration number.

Complete section B if you failed to register the dog in your name and/or you do not know the ABA registration number.

Section A

If the dog was transferred from breeder or previous owner into your name and you can provide the ABA registration number, please send the number with the fee of $10.00 and we will send you a replacement certificate.

dog’s name: _________________________________________  ABA number: ______________________

owner’s name _________________________________________________________________

address __________________________ city ________________ state _____________ zip ____________

phone ________________________ e-mail:__________________________________

send completed form with check or money order to: ABA, 71801 Hill Rd, Covelo, CA 95428

Section B

If you did not transfer the dog into your name and/or do not have the dog’s ABA registration number, please fill in the information below.  Please send a clear photo of the dog and a fee of $20.00, which includes a research fee.  Be sure to include the name, address and phone or e-mail address of breeder and previous owner (if there was one).

registered name:___________________________________     Call name:_____________________________

date of birth:_________     sex:_____     color & markings:__________________________________________

sire’s name:_________________________________________, registration #*______________________________

                                                                                             (*preferably ABA, but what information you have can help)

dam’s name:_________________________________________, registration #*______________________________

                                                                                             (*preferably ABA, but what information you have can help)

Owner applying for duplicate registration certificate:

name _________________________________________________________________

address __________________________ city ________________ state _____________ zip ____________

phone ________________________ e-mail:__________________________________

previous owner:

name _________________________________________________________________

address __________________________ city ________________ state _____________ zip ____________

phone ________________________ e-mail:__________________________________

 (Please use the space below for any additional information you think might help us locate your dog’s data.)

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

send completed form with check or money order to: ABA, 71801 Hill Rd, Covelo, CA 95428

The new phone number for the ABA Registration office is 707.354.0851. Please phone Tuesdays thru Thursdays 11:00 AM to 3:00 PM Pacific time.

Any questions, please email to: ababulldog@hughes.net