Complete online then print to post with cheque OR submit form to pay by credit card
CATZ INC. CERTIFIED PEDIGREE REQUEST
*Enter New Owner details if Transfer required (Transfer Fee $7)
Name:
Catz Inc. Membership No:
Address:
Phone:
Email:
Catz Inc. Registered Prefix:
Name of CAT/KITTEN:
(Include Titles & Prefix)
Catz Inc. Registration No:
Breed:
Coat Length:
Long
Short
Date of Birth:
Coat Colour/Pattern:
Eye Colour:
Sex:
Male
Female
Neuter
Spay
Name of SIRE:
(include titles)
Name of DAM:
(include titles)
*Enter New Owner details if Transfer required
New Owner:
Address:
Phone:
Email:
I/We certify that the above particulars are true to the best of my/our knowledge and belief and that this
cat/kitten was alive on the date below.
SIGNATURE (if form is printed): .....................................................
DATE (Day/Month/Year) ............................
POST TO: June Mateer 101 Ti Rakau Drive, Pakuranga 2010 Ph: 09 576 8128 EMAIL:
rakesha@xtra.co.nz
METHOD OF PAYMENT:
Cheque
Credit card (Details on file)
Direct Banking
By submitting this form, you are certifying that the above particulars are true to the best of your knowledge and belief.
Certified Pedigree $30 per Cat/Kitten