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<= !--[if vml]>

KC Registered = name	=
Pet Name	=
KC Registratio= n number	=
Microchip or T= attoo number	=
KC Registered = name of Sire	=
KC Registratio= n number of Sire	=
KC Registered = name of Dam	=
KC Registratio= n number of Dam	=
Date of last E= ye Test mm/dd/yy	&n= bsp; / = /
Eye disease di= agnosed Give details i= f not unaffected =	=

KC Registered = name	=
Pet Name	=
KC Registratio= n number	=
Microchip or T= attoo number	=
KC Registered = name of Sire	=
KC Registratio= n number of Sire	=
KC Registered = name of Dam	=
KC Registratio= n number of Dam	=
Date of last E= ye Test mm/dd/yy	&n= bsp; / = /
Eye disease di= agnosed Give details i= f not unaffected =	=

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Dog 2

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