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Breeders Listing Application


I*, , the undersigned, am the breeder and/or authorized representative of the kennel identified below, and hereby certify and agree, both individually and, if applicable, on behalf of the kennel, that I have read, understood and agree to the recited terms and requirements listed on the SWDCA Breeder and Stud Dog Referral List on the SWD Club of America's website.

Signature*: Date*:

Kennel Name (as it will appear on breeders list)*:

Breeder
Stud Dog

Address*:

City*: State*: Zip*:

Contact telephone number*: ( )

Email*:

Website:

All fields marked with an * are required.

Please submit your information by clicking the Submit Form Online button below. You will then be directed to our payment page to pay the application listing fee through our PayPal account. Or you can mail your $50 check (payable to Spanish Water Dog Club of America, Inc.) to the following address: SWDCA Treasurer, c/o Nancy P. Valley, 308 Granite Rd., Guilford, CT 06437, USA.



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