If you would like to join, print application form and mail to:    Daniel Reece

                                                                                                2503  310th St.

                                                                                                Keokuk, Iowa 52632

IOWA PET BREEDERS ASSOCIATION MEMBERSHIP FORM

MEMBERSHIP $50

(PLEASE PRINT CLEARLY) 

       

LIST IN DIRECTORY      YES____    NO____          LIST ON WEBPAGE     YES____    NO____

NAME____________________________________BUSINESS NAME________________________________

ADDRESS_____________________________________________________________________________

CITY_____________________________________________STATE________________ ZIP_______________

HOME PH_________________________CELL_________________________ FAX______________________

EMAIL_________________________________________WEBSITE_______________________________

• AFFENPINSCHER
  

• AKITA
  

• AMERICAN BULLDOG
  

• AMERICAN ESKIMO
  

• AUSTRALIAN CATTLE DOG
  

• AUSTRALIAN SHEPHERD
  

• BASSET HOUND
  

• BEAGLE
  

• BEARDED COLLIE
  

• BERNESE MOUNTAIN DOG
  

• BICHON FRISE
  

• BICHON POO
  

• BLOODHOUND
  

• BLUE HEELER
  

• BOLOGNESE
  

• BOSTON TERRIER
  

• CAIRN TERRIER
  

• CAVACHON
  

• CAVAPOO
  

• CAVALIER KING CHARLES SPANIEL
  

• CHIHUAHUA
  

• CHINESE CRESTED
  

• CHOW CHOW
  

• COCK A POO
  

• COCKER SPANIEL
  

• COTONDE TULEAR
  

• DACHSHUND (MINIATURE)
  

• DACHSHUND (STANDARD)
  

• DOBERMAN PINSCHER
  

• DOGUE DE BORDEAUX
  

• ENGLISH BULLDOG
  

• ENGLISH MASTIFF
  

• ENGLISH SPRINGER SPANIEL
  

• ENGLISH TOY SPANIEL
  

• FOX TERRIER (SMOOTH)
  

• FOX TERRIER (TOY)
  

• FOX TERRIER (WIRE)
  

• FRENCH BULLDOG
  

• GERMAN SHEPHERD
  

• GERMAN SHORTHAIR POINTER
  

• GOLDEN RETRIEVER
  

• GOLDENDOODLE
  

• GREAT DANE
  

• HAVANESE
  

• HAVAPOO
  

• ITALIAN GREYHOUND
  

• JACK RUSSEL TERRIER
  

• JAPANESE CHIN
  

• KEESHOND
  

• LABRADOODLE
  

• LABRADOR RETRIEVER
  

• LHASA APSO
  

• LHASA POO
  

• MALTESE
  

• MALTI POO
  

• MINIATURE PINSCHER
  

• MORKIE
  

• NEAPOLITAN MASTIFF
  

• NEWFOUNDLAND
  

• NORWEGIAN ELKHOUND
  

• NORWICH TERRIER
  

• PAPILLON
  

• PEKE A POO
  

• PEKINGESE
  

• PEMBROKE WELSH CORGI
  

• POM POO POMERANIAN
  

• POO
  

• POODLE (MINIATURE)
  

• POODLE (STANDARD)
  

• POODLE (TOY)
  

• PUG
  

• PUGGLE
  

• RAT TERRIER
  

• ROTTWEILER
  

• SAINT BERNARD
  

• SAMOYED
  

• SCHIPPERKE
  

• SCHNAUZER (MINIATURE)
  

• SCHNAUZER (STANDARD)
  

• SCOTTISH TERRIER
  

• SHAR PEI
  

• SHETLAND SHEEPDOG
  

• SHIBA INU
  

• SHIH POO
  

• SHIH TZU
  

• SHORKIE
  

• SIBERIAN HUSKY
  

• SILKY TERRIER
  

• SNOODLE
  

• SOFT COATED WHEATEN
  

• TEDDY BEAR
  

• VIZSLA
  

• WEIMARANER
  

• WELSH TERRIER
  

• WEST HIGHLAND WHITE TERRIER
  

• WESTIE POO
  

• YORKIE POO
  

• YORKSHIRE TERRIER
  

• YORTESE
  

OTHER BREEDS________________________________________________________________________________