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National Kennel Club
APPLICATION TO REGISTER A PUREBRED DOG
(PLEASE PRINT NEATLY)

NAME OF DOG
Wright's Green Eyed Monster
BREED    American Pitbull Terrier SEX   Female
DATE OF BIRTH         November 10,  1997 COLOR AND MARKING   Black / White Chest Star
OWNER OF SIRE        Larry Stafford OWNER OF DAM          William Wright
WAS THE DOG PREVIOUSLY REGISTERED?  No IF YES, WHICH REGISTRY? 
INSPECTED BY      John Lewis / Smokey Mountain Kennels DATE    January 10, 2002   
    SIRE   Jackson's Robert E. Lee
  SIRE Jackson's Stonewall  
    DAM  Jackson's  Southern Belle
SIRE  Stafford's Black Beard    
    SIRE    Wright's Magnum
  DAM   Jackson's Brianna  
    DAM  Wright's Bewitched
    SIRE   Wright's Little Joe
  SIRE   Wright's Blackeyed Joe  
    DAM   Wright's Sadie Mae
DAM  Wright's Lola    
    SIRE   Stafford's Yankee Biter
  DAM  Stafford's Lucy Bell  
    DAM  Martin's Super Girl

I CERTIFY THAT I AM THE OWNER OF ABOVE DOG AND THAT THIS INFORMATION IS TRUE.

OWNER   William Wright III SIGNATURE
ADDRESS   3059 Brandau Road  /  Hermitage, Tennessee     37076-3502
TELEPHONE: (AREA CODE)        (615)    885 - 7736
WITNESS  WITNESS 

FEE: THREE GENERATION PEDIGREE: $13.00

ADD $5.00 FOR OUT OF COUNTRY CHECK OR MONEY ORDER (BANK REGULATION)

FOR RUSH SERVICE: ADD $5.00. IF DESIRED, CHECK HERE ________

OPTIONAL ENTRY ENTRY CARD $5.00