Application Fee will be $225.00 for four/4 breeds add additional $25.00 over the initial four/4
The requirements  must be met by the breeder to be assigned the foundation breeder status. Breeders will be notified by the DBR if they are eligible for
this status. Please refer to our recognized registries link. Foundation Breeder Certificate will be issued upon approval

Please use the form below to apply for Foundation Breeder Status: Please complete and Email your 1-5 required criteria to
admin@designerbreedregistry.com or use the text box below  to submit criteria. If you wish you can fill out the form below and a representative will call you
and you can submit your criteria information to the representative.


Applicants Name:

Co Applicant Name


Phone:


Email:
Mailing Address:

City


State/Country

Zip/Postal Code
Name on Card:



Card Number:


Exp.Date


CVS Code
Billing Address:
* The cvs code is the 3 digit code
located on the back of the card
Amex card it is the 4 digit code
located on the front of the card   
Paypal Customers please email:
registrations@designerbreedregistry.com
or call 732-256-9415 to request an invoice
         DESIGNER BREED REGISTRY

                           FOUNDATION BREEDER PROGRAM APPLICATION
DBR