About Patterdale Terrier Club of America
New member app
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PTCA NEW MEMBER APPLICATION
Yearly Membership: $ 45.00 Adult $20 Youth (under 18) Membership
Date:____________________
Name:________________________________________
Address:______________________________________
City:__________________State:_____Zip Code:_______
*Telephone:___________________________________
*E-mail address:___________________
PTCA NEW MEMBER APPLICATION
Yearly Membership: $ 45.00 Adult $20 Youth (under 18) Membership
Date:____________________
Name:________________________________________
Address:______________________________________
City:__________________State:_____Zip Code:_______
*Telephone:___________________________________
*E-mail address:___________________________
You must include your email address in order to receive a newsletter or other updates. (Write carefully and clearly) , also update any e-mail address changes in order to continue receiving The PTCA Newsletter.
Your Kennel Name:_________________________
How many Patterdales do you own?
Females______Males______
Would you be able/willing to foster or adopt a Patterdale in need?
Yes____ No____
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In some cases, it is extremely, difficult to read handwriting.
This may delay Registration Papers reaching you.
PLEASE print clearly.......better yet, attach a printed return address mailing label to your Membership and Registration forms.
Print and send completed Application along with dues to: Contact@patterdaleterrierclubofamerica.com
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*Applicant MUST be current PTCA member. If not a Current Member, include Membership Application and fees. Renew yearly.
*The PTCA does not process Litter Registrations......each Patterdale must stand on its' own merits.
If you would like forms mailed to you (USPS), please send a stamped, self addressed envelope, with your request, to the
*Applicant MUST be current PTCA member. If not a Current Member, include Membership Application and fees. Renew yearly.
*The PTCA does not process Litter Registrations......each Patterdale must stand on its' own merits.
If you would like forms mailed to you (USPS), please send a stamped, self addressed envelope, with your request, to the address below.
The following MUST be with your Registration Application (otherwise, it will be returned):
1) Two (2) color photographs (front & side view) of your Patterdale(indicated terrier should fill 75% of the photo)
2) No longer require a Mandatory Minimum Three (3) Generation Pedigree (parents, grandparents, great grandparents).
Registration Application must be signed by breeder and owner of dog you wish to register.
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Breeders: Have a Pedigree, a signed Registration application or a signed Transfer of Ownership application (if dog is already PTCA Registered) ready to send with each pup/dog when it is picked up by new owner. Also, have any guarantees or stipulations in writing and give a copy to the new owner.
New Owners: Have the above documentation, in hand, before you take your new dog home.
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Printing forms: (Highlight form and instructions, click "Print". When your "Print Box" opens, check "Selection" to print only the areas highlighted.)
Registration Fee: 35.00 or equivalent Euros
Send Completed Registration Application, along with photographs, pedigree and fees payable to:
PTCA
Any questions: Please see the Home Page
Instructions for the above Patterdale Registration Application:
*Applicant MUST be current PTCA member. If not a Current Member, include Membership Application and fees.
On all applications, the Owner's Name should appear as part of the dog's name.
* The name may be shown as "Shortened" on the light shadow background due to Data-base only permitting a limited number of characters to this field (24 spaces Only), but the Name will be apparent on both the Registration and Pedigree Certificates.
* Colors acceptable: Black, Red, Chocolate, or Black & Tan - THESE ARE the ONLY COLORS (Do not make up colors or what you "think they are" - READ THE STANDARD!) - if other colors are submitted, we will assign the color appropriate from the photos sent.
* Coat Type: Smooth, Broken, Rough (see PTCA Breed Standard)
*The PTCA does not process Litter Registrations.
* If you are the new owner of a previously Registered Patterdale, (refer to "Transfer of Owner")
Any application incorrectly filled out or not completed entirely, or fees not included, will be sent back to applicant.
Be sure that you include an accurate and true three generation pedigree.
Although The PTCA attemps a 48-hour turn-aound on processing, PLEASE allow for longer in some cases.
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Patterdale Terrier Club Of America
Application For Individual Registration Of A Patterdale Terrier
*Instructions at the bottom of this web page.
Date: _____________ Registration Fee: $35.00 per terrier
Your Name(Member/Owner_______________________________________
Address____________________________City________________
State_______Zip_______ Country________________
*Phone_______________ *Email _________________
You must include your email address in order to the newletter or other updates. (Write carefully and clearly) as we are getting failed e-mails ...
Patterdale's Name ____________________________
(As it will appear on Certificate) * The Breeder's Name or Kennel Name should be part of the Terrier's Name.
Date of Birth____________________________Sex_______________
Coat Color _____________________ Type______________________
Recognized colors are Black, Red, Chocolate, Black & Tan
Sire’s Name ___________________________ PTCA #__________if Reg.
Dam’s Name___________________________ PTCA #__________if Reg.
I, breeder, attest that the Patterdale Terrier indicated on this Registration Application was the result of the breeding by the above listed Sire and Dam and was sold to the undersigned Owner.
Breeder's Signature_________________________ (Mandatory)
Print Breeder's Name_____________________
I attest that I was informed by the Breeder that the Patterdale Terrier indicated on this Registration Application was the result of the breeding by the above listed Sire and Dam.
Owner's Signature___________________________ (Mandatory)
Print Your Name_________________________
*Instructions at the bottom of this web page.
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PTCA Transfer Of Ownership
Current Membership is required
Terrier’s Name:_______________________________________
Terrier’s name must remain the same as stated on the original
Certificate of Registration and Pedigree - YOU CANNOT CHANGE THE NAME OF THE TERRIER
PTCA Reg. #:_____________________Male: Female:_____
I (present owner)_________
PTCA Transfer Of Ownership
Current Membership is required
Terrier’s Name:_______________________________________
Terrier’s name must remain the same as stated on the original
Certificate of Registration and Pedigree - YOU CANNOT CHANGE THE NAME OF THE TERRIER
PTCA Reg. #:_____________________Male: Female:_____
I (present owner)______________________________________
Address______________________________________________
E-mail _______________________________________________
Phone_____________________________________
agree to transfer ownership of the above named dog to:
(New Owner)__________________________________________
Address____________ _______________________________
E-mail ______________________________________________
Sign:(Original Owner) ___________________________________
Sign: (New Owner) _____________________________________
Print Transfer of Ownership Form and there is a $25.00 Fee to be sent with Transfer Request -
Send to Contact@patterdaleterrierclubofamerica.com
Registration will be mailed to new owner. Current Membership is required.
(Print and use this form if you have purchased a dog which is already registered with the PTCA)
*Registered name will remain the same - NO NAME CHANGES .
If you do not transfer your dog into your POSSESSION, the original owner will remain as the owner of record in the PTCA database!