PLEASE READ ALL THE INSTRUCTIONS LISTED BELOW
BEFORE COMPLETEING
Mail to: AMERICAN RARE BREED MI-KI
REGISTRY 209 Lee Ridge Road SE Cleveland, TN 37323
Sex: ________
Color and Markings: ______________________________________________
Whelping "Birth" Location: City: ________________________
State: ________
UKC DNA #: Z_________
Breeder’s Name: ________________________________________
IF THE ABOVE MI-KI’S SIRE AND/OR DAM ARE NOT REGISTERED WITH THE ARBMR, IT IS REQUIRED THAT
YOU FURNISH A COLOR COPY OF THE DNA CERTIFICATE AND A BLACK AND WHITE COPY OF THE REGISTRATION CERTIFICATE THAT YOU CURRENTLY HAVE FROM OTHER REGISTRY.
Owner's Name: _______________________________________________________
Email Address:
_______________________________________________
Signature(s) as
appearing above: ______________________________________________
Date of Signed: _______________
2. If the Mi-Ki is or has been registered with another Mi-Ki Organization, Club, or Association, a copy of this Mi-Ki's registration certificate
MUST
accompany this application.
3. Breedable Mi-Kis: A color copy of the individual Mi-Ki (as appearing above) DNA certificate
MUST
also accompany this application.
4. Mi-Kis eligible for registration with the ARBMR MUST be registered
in owner(s) name as appearing above only.
5. Failure to sign and date this application along with incorrect fee will
result in delay of processing registration.
6. If the ARBMR finds, at any time, that the owner misrepresents any information on this registration application, or misrepresents their Mi-Kis or
the Mi-Ki breed, this will be considered cause for cancellation and will result
in loss of all ARBMR privileges.
7. If you have any questions regarding this registration application, please contact the ARBMR at
423-479-3851 or you can send an e-mail message (please include your phone number) to the ARBMR .
2006 All rights reserved by the ARBMR
THIS APPLICATION. PRINT ALL INFORMATION (except
signature).
USE BLACK INK AND CAPITAL LETTERS WHEN FILLING OUT THIS
APPLICATION.
Make all check payable
to (ARBMR) Registrar Lawrie Willis
Registered
Name of Mi-Ki: ______________________________________________________
The Registration name is to include the Kennel Name of the Mi-Ki breeder.
Spay/Neuter: ___ Yes ___ No
Date Of Birth: ___________________________
(Example: White, Black, and Blue Silver)
If DNA has been done through another DNA company please fill in the following.
DNA Company: ______________________________
City:______________________ State: _______
DNA #: ____________
Breeder's Full Mailing Address: _______________________________________________________
Breeder's Phone Number: (_____)______ - ________ Breeder's Email Address: _____________________
(Example: John
and/or Joanna Smith or John Smith)
Owner’s Full Mailing Address: _______________________________________________________
Home Phone: (_____)______ - ________
Best time to call? ___________
Cell Phone: (_____)______ - ________
Instructions for Completing ARBMR's
Purebred Mi-Ki Registration Application
1. Clearly, print or type ALL INFORMATION . If
we cannot read all information requested, the application will be returned to you.
This will delay your registration certificate.
Registration Form (7/7/2007)
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Important Information About The Mi-Ki Breed
