Title Awards Request Form

Dog's Information

Dog's Full AKC Registered Name *

Newly Earned AKC or SV Titles *

Breeder's Name(s) *

Owner's Name(s) *

Street Address *

City / State / Province / Region *

Zip Code *

Country *

Phone *

Owners who are members of GSDCA *

First Name *

Last Name *

Email Address *

If you do not have a scanner, ok to take a photo with your phone to submit.

Please Upload the AKC Title Certificate(s) or SV Scorebook pages for which you are requesting a pin/pendant, certificate or medallion

Click or drag a file to this area to upload.

Do you want a GSDCA certificate if your title qualifies for one?

If you do want a certificate, would you like it sent via email?

Any special instructions or requests?

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