GDC KinReportŪ

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Institute for

Genetic Disease Control

In Animals

Request for GDC KinReportŪ

Return Completed form to:GDC
PO Box 177
Warner, NH 03278

Telephone: 603-456-2350
Toll-Free: FAX: 603-456-2286

EMAIL: gdc@conknet.com
 
NAME
ADDRESS
CITY STATE ZIP PHONE
YOUR GDC CLIENT NUMBER - IF KNOWN

REG. NAME OF DOG
GDC DOG NUMBER, IF KNOWN KC REGIS. NUMBER

I am aware that this information has been placed in the public domain by the dog's owner with the implied and explicit understanding that it will be available, subject to cdertain rules, to breeders, owners, and prospective owners, breed clubs, and researchers who agree to use it in a responsible and ethical manner for the improvement of the breed. I understand this data is for my private use only, and not for publication.

Signature:_________________________ Date:___/____/____

I enclose $10 ____ for the KinReportŪ = Progeny & Sibling/Half-Sibling printout form the registries on above dog. I enclose ____a 4 generation pedigree.

To encourage online ordering of KinReports, GDC is requesting a donation for the service, rather than charging a fee. We depend on dog registration fees, donations and gifts for our operating revenue. Please help us continue to bring this vital service to breeders and owners of purebred dogs by making a donation that you feel is appropriate.

A portion of your donation is tax-deductible: GDC is a 501(c)3 organization.

US$5-$10

Suggested donation for 1-2 KinReports. THANK YOU!

US$10-$25

Suggested donation for more than 2 KinReports. THANK YOU!

 Delivery

The reports will be FAXed (if you request this service in the "Special Comments" box below and provide a FAX number), or mailed, usually within 1 working day.

KINREPORT USER AGREEMENT:   I understand the information requested via the KinReport(TM) will not be used for publication, but rather for my own personal use in improving the future health of the breed. 

Signed__________________________________________ Date____/____/____

My Special Instructions or Comments:    


God Bless America, United We Stand