This section is to be filled in by the New Owner(s)
Type of Certificate requested_________________________________________________
SEND BOTH PAGES, APPROPRIATE FEE AND/OR A CLEAR PHOTO OF PUPPY (IF
REQUESTING A PHOTO REGISTRATION) AT LEAST 3" X 5" SHOWING FULL VIEW, NO
POLAROID'S. (All photos become the property of the DHTR) MAIL TO:
Decker Hunting Terrier Registry (DHTR)
26 Park Drive
Rocky Hill, CT 06067
Phone # 860-563-2293 Email
Name of Owner____________________________________Address_____________________________
City_____________________________________________State______________Zip_______________
Phone#________________________________E-Mail_________________________________________
Signature_______________________________________
Name of Co-Owner_________________________________Address_____________________________
City_____________________________________________State______________Zip______________
Phone#________________________________Signature______________________________________ |