For use by current ATFTC members ONLY:

Use this form to SIGN UP to be ADDED on the Member/Breeders page
or
to report a CHANGE in your address/breeder referral information
or
request that your contact information be DELETED from the site (check=do not include)

Answer ALL questions, fill in ALL blanks with at least "NA". If you do not, your form will have errors when you send it.

Current Member Name (REQUIRED):		New Name:
Current Member Address: (REQUIRED)		New Address:
Update Phone Numbers: (Phone OR email REQUIRED)	Home Work Fax
E-mail Address:
Website URL:
Yes No	Do you offer stud service for approved/qualified bitches?(REQUIRED)
Tri-Color White/Chocolate/Tan White/Tan White/Black	What color(s) TFT do you own? (Check all that apply, both males & females)
Yes No	Do you have puppies available on occasion?(REQUIRED)
Tri-Color White/Chocolate/Tan White/Tan White/Black	What color(s) PUPPIES do you produce? (Check all that apply)
Kennel Name:
Include on Website for Breeder Referral:	IncludeDO NOT include
Remarks: