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Pet Tag and Microchip Registration

For the registration of ACA Pet Tags and Dog's Microchip. This service is only available. Please submit all information requested in the following form. Any form submitted without this information cannot be processed. For any questions about these requirements please call customer service at 1-800-651-8332.

                                                                                    Instructions:

Please use your "TAB" key or computer mouse to move to the next field. Use the "ENTER" key or your mouse to submit the information.

 

Section 1: Canine Information

Registration Number:

Dog's Name:

Sex   Color(s):  

Breed: Microchip Number:

ACA Tag Number:

Date of Ownership (mm/dd/yy):

 

Section 2: Owner Information

First Name:    Middle Name or Initial:   Last Name:

Co-Owner Information (It is optional to have a co-owner)

First Name:   Middle Name or Initial:   Last Name:

Address 1:

Address 2:

City:      State:      Zip Code:     Country:

Phone Number:    Email Address:

 

 

Terms and Conditions

Because ACA wishes to insure the integrity of its registration process, all persons or entities are advised that the American Canine Association is not responsible for any error, omission, or misrepresentation regarding the accuracy of information contained on forms submitted by the breeder. We must depend on the information supplied to ACA and can therefore make no express or implied warranty concerning the accuracy of that information. ACA stands responsible for any error our office may commit during the registration process and will take steps immediately to correct such errors once they are brought to our attention. However, the faulty document must be returned to us with the error circled. There will be no charge to the breeder for the re-issuance of the corrected registration application. Please be aware that an application may be revoked for good or sufficient cause and that deliberate misrepresentations thereon may result in cancellation of your application and any attendant privileges customarily extended by the American Canine Association. If the customer agree this terms it also certify that all the information in this application to be true and correct to the best of their knowledge. If you don't agree the terms and conditions or submit false or incomplete information this application will be cancelled.

I Agree      I Don't Agree