Smart Dog Owner Registration

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Membership type you’re applying for:

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User ID

Membership Term

First Name*

Last Name*

Email Address*

Phone Number

Address

Country

Dog breed

Name of MDBA breeder

MDBA Breeders Prefix

Dog’s name as shown on their pedigree

Dog’s MDBA registration number

I the applicant declare that:

I am over 18 years of age

The MDBA has my permission to verify the information I have provided

I will uphold the MDBA Code of Ethics and will abide by the MDBA rules and policies

I have never been found guilty of any animal cruelty or welfare offences and I am not currently under investigation for any animal cruelty or welfare offences.

Name

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Master Dog Breeders and Associates (MDBA)

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Smart Dog Owner Registration