Premium List Request / Address Change Form

After you fill in the appropriate information in this form, click the Continue button below to check your entries. A formatted form will be generated that you may either: print from your browser and mail or fax; or submit online. In either case, you should print a copy for your own records.

Name

Address

City	State	Zip

Phone	Fax	Email

Permanent address change?	Areas you wish to show:
Yes No	California Arizona

Is dog over 6 months?	Breed of Dog:
Yes No

Please note that a dog must be 6 months old to compete in dog shows. We do NOT handle Puppy Matches.
Allow 6 weeks for processing; during this period, please pick up premium lists at the superintendent's table at the shows.
Please advise us of address changes, because 3rd class mail is not forwarded.

Address Change To change address, type in your old mailing address: