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Welcome to the Quality Breeders Association

Please completely answer ALL questions.

First Name
Last Name
Kennel Name (if applicable)
Birthday
Year:
Address
City
State
Zip
Telephone
Cell Phone
Email Address

Website Address

Main breed of dog that you raise
# of Females / # of Males

Second breed of dog that you raise
# of Females / # of Males

Third breed of dog that you raise
# of Females / # of Males

How long have you been raising dogs?
Level of Yearly Membership Required

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