Application for inclusion on the Puppy Line

If you are a member of the akita association
it is free to advertise your litter, but if you
are not a member then it is £10 but the parents
of the litter MUST have a hip & eye certificate.

Address:...................................................................................................

................................................................................................................

Telephone No:............................................Fax: No...................................

Name of Sire:............................................................................................

Hip score:.............................Date of last eye certificate:.............................

Name of Dam:...........................................................................................

Hip score:.............................Date of last eye certificate:.............................

Number of puppies:   Dogs...............Bitches..................

Date of birth: ....../....../.......

Please return form and fee (if applicable) to:

MrS HELEN BURKE
4 PAWS-UK,
RED LEA KENNELS,
BOURBLES LANE
PREESALL,
POULTON-LE-FYLDE,
LANCS
FY6 0PE

For use by  AA  only

Hip/Eye certificate received:........................................

Fee received (if applicable:..........................................

Date placed on Puppy Line:..........................................

Review date:...............................................................