PPPA Maturity Puppy Nomination Form (Part 2b)

PART 2b: Please fill out one form PER puppy. Fee $10.00 (USD). Must be complete after whelping and BEFORE pup turns Six (6) months old.

Puppy Nomination

1. Did you submit Part 1 (Bitch nomination), Part 2a (Futurity Nomination *Not required to enter)? Required

Yes No (Not eligible to enter these Stakes with this puppy)

2. AKC Registered Name (or Name Applied For): Required

3. AKC Registration Number (or Litter Number): Required

4. Coat type: Required

Smooth Wire

5. Gender Required

Dog Bitch

6. Whelping Date: Required

Please input date (M/d/yyyy).

7. AKC Registered Name of Dam: Required

8. AKC Number of Dam: Required

9. AKC Registered Name of Sire: Required

10. AKC Number of Sire: Required

11. Name of Owner: Required

12. Name of Breeder (Or Lessee): Required

13. Email address of owner: Required

14. Phone number of owner (optional): Optional

15. Address of Owner: Required

After you click Pay Now, your nomination details will be submitted and PayPal will open in a new tab to complete the $10.00 fee.