Applications may be copied to your printer or obtained from:
GDC
PO Box 177
Warner, NH 03278
Telephone: 603-456-2350
Toll-Free: FAX: 603-456-2286
EMAIL:
gdc@conknet.com
Updated October.12, 2002
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GDC Eye Registry
Application FORM
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| CALL NAME |
NUMBER IN LITTER |
| KC REGISTRATION No. |
BIRTH DATE |
| SIRE'S REGISTERED NAME |
SIRE REGISTRATION No. |
| DAM'S REGISTERED NAME |
DAM REGISTRATION No. |
Fee included (payable to GDC) $ ______
No charge for Affected Entries
I hereby certify that the data submitted is of the dog
described on this application. I am aware that the data will be public information and
will be maintained for the purpose of improving the breed and lowering the risk of genetic
diseases, as well as for research purposes.
Signature:______________________________________________________________________________
Date:__/___/__________
Institute for Genetic Disease Control in Animals
/2295761@mcimail.com/ Revised October 2, 1997
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