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INC. ALL RIGHTS RESERVED. NOT VALID IN CANADA. COLOR MARKINGS (OPTIONAL) Male Female BREED SEX (Check One) BREEDER (OPTIONAL) MICROCHIP # (OPTIONAL) C K C BIRTHDATE TATTOO # (OPTIONAL) DNA CERTIFICATION # (OPTIONAL) BLOODLINE (OPTIONAL) PRESENT OWNER SECTION - Please use dark ink. My Address Has Changed. If you are a customer with CKC and your address has changed since your last order, please enter your previous address below. PRESENT OWNER PREVIOUS ADDRESS CURRENT ADDRESS PREVIO.

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