Make your own free website on

Copy the form below for registration to the CERF Clinic

CERF Registration form:
AKC Name of Dog: __________________________________________________________
AKC Number: ______________________________
Permanent ID /Tattoo or microchip #: ____________________________
Birthdate: __________________________________
Owner's Name: ___________________________________
Address: _________________________________________
Telephone #: ______________________________________
Please make checks payable to BTCA and mail with this form to: Deana Jones,
362 Ridge Drive, Naples, FL, 34108 (be sure to write "CERF clinic" on your
check). Take advantage of the bargain price for having more than 1 dog
tested! The fees are: $20/first dog, $18/second dog, $15/third+ dog (must
all be registered to the same owner).

If more than one dog, photocopy this form or attach a separate