Stud owner to fill out completely, print, sign, and mail to the AHTCA
This is to certify the Bitch:
REGISTERED NAME: ________________________________________________________________
AHTCA REGISTRATION NUMBER: _______________________
OWNED BY.....
NAME: ____________________________________________________________________________
ADDRESS: _________________________________________________________________________
CITY: _____________________________________________________________________________
STATE: _____________________ ZIP: _____________________ COUNTRY: ___________________
Was bred to my Stud Dog:
REGISTERED NAME: ________________________________________________________________
AHTCA REGISTRATION NUMBER: _______________________ If the Hunt Terrier is not AHTCA registered
please enclose a picture of the stud along with a copy of his pedigree.
OWNED BY.....
NAME: ____________________________________________________________________________
ADDRESS: _________________________________________________________________________
CITY: _____________________________________________________________________________
STATE: _____________________ ZIP: _____________________ COUNTRY: ___________________
DATE(S) BRED:
__________________________________________________________________________________
Are either the Sire or Dam Registered with any other organizations? If so, please give name
of organization and registration number:
__________________________________________________________________________________
As the owner(s) of the Stud, I (we) hereby certify this information to be true.
Signed: ____________________________________________________ Date: _________________
Signed: ____________________________________________________ Date: _________________
Home of the Hunt Terrier also known as the black and tan Jack Russell Terrier
AHTCA Stud Service
American Hunt Terrier Club Association, INC.
607 Nichols Bluff Road Brantley, AL 36009
%Rena Perrett Compton
Phone: 334-527-3804 Email renapcompton@yahoo.com
Please use your browsers print button, fill out completely
and mail to the AHTCA
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