Breeder's Directory Application

1) BREED:___________________________________________________

Name ______________________________________________________

Address ____________________________________________________

State _______________ Zip _______________

Phone ______________________ E-mail ________________________

WEB Address _______________________________________________

Name of AKC Club ___________________________________________

Phone # of Club Secretary or Sponsor __________________________

2) RESCUE ORGANIZATION NAME ______________________________

Phone _______________________ E-mail ________________________

3) BUSINESS LISTING Name ___________________________________

Type ________________________________________________________

Address _____________________________________________________

State ________________ Zip ____________

Phone _______________________ E-mail ________________________

WEB Address ________________________________________________

Make checks payable to Lake Minnetonka Kennel Club, and mail to:

Ginger King

3404 Major Ave No

Crystal  MN  55422

 

Phone: 763-529-2637     E-mail: kingcotti@msn.com