Professional Documents
Culture Documents
Clever Canine Companion Title Form
Clever Canine Companion Title Form
Please attach proof for each item listed and use a separate form for each dog
Owners Name: _______________________________________________________
Address: ____________________________________________________________
____________________________________________________________________
Phone Number:_______________________________________________________
(Please specify whether day or evening number)
E-Mail Address: ______________________________________________________
Dogs Registered Name: _______________________________________________
(as you would like it printed on your certificate)
Dogs Call Name: _____________________________________________________
Dogs Breed or Mix: __________________________________________________
Dogs Age:
Please submit
completed application
with all proofs and
check in the amount
of $15.00 per title
payable to Arleen
Ravanelli.
Please mail to her at:
573 Spring Lake Road,
Rhinelander, WI 54501
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Category 2 Health
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Category 4 Tracking
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Category 5 Conformation
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Category 6 Herding
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Category 7 Protection
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Category 10 Soundness
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Category 12 Other
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