IBR Application

Name *

Date Of Birth *

(mm/dd/yyyy)

Gender *

Male
Female

Sire Name *

Dam Name *

Breed *

Color & Specific Marking Description *

REG # *

Name *

First

Middle

Last

(Owner Information)

Address *

City *

State *

Zip *

Phone Number *

Email *

Confirm Email

___________________________________________________________________

3-GENERATION PEDIGREE

Must provide a copy of your 3-GENERATION PEDIGREE. Information must be visible *SEE EXAMPLE BELOW*

Front Copy *

Click or drag a file to this area to upload.

Inside Copy *

Click or drag a file to this area to upload.

___________________________________________________________________

Application Fee *

Price: $ 65.00

“Due to high volumes, processing times may take up to 6 weeks”

Shipping Fee *

Price: $ 35.00

Standard Shipping

Total

$ 0.00

FOR INQUIRIES OR SUPPORT PLEASE CONTACT "pobox@ibrworldwide.com"

Terms & Condition *

By clicking this box, you agree to only contact the listed emails for any questions regarding your order. For any Applicants that contacts any personal Instagram accounts or personal phone numbers regarding questions about registration, will result in cancellation of your registration without a refund. International Bully Registry (IBR) is it’s own entity and has no affiliations with THEBULLYCAMPLINE.

BY FILLING THIS FORM YOU ACKNOWLEDGE AND AGREE THAT YOU ARE THE CURRENT OWNER OF THE FOR MENTIONED REGISTERED DOG AND ALL INFORMATION PROVIDED IS TRUE AND ACCURATE. IBR RESERVES THE RIGHT TO DENY AND/OR TERMINATE REGISTRATION AT ANY TIME IF AND INFORMATION IS PROVEN FALSE. IF YOU ARE DENIED OR REGISTRATION IS TERMINATED, ALL FEE’S PAID WILL BE FORFEITED.