SIGNUP GF Reg Test For JR

Instant Service & Support Dog ID Cards & Documents!

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Upon Completion Of This Form:  You will be validated and a dashboard will instantly be created for you allowing access to our official registration form and instant documents section where you can register your dog (s), Obtain Instant Digital Documents, Order Physical ID Cards, Official Letter Of Registration, Registration Certificates, Housing Certificates and Purchase Other Service And Support Dog Products. This one-time administrative fee & is valid for all dogs you register now and in the future using this registry. If You Already Paid This Fee Simply Log In To Your Account.

Example USA Cards (You Can Use Dog Or Owner Photo)

Example Canadian Cards (You Can Use Dog Or Owner Photo)

Dog Owners Name(Required)

Email For This Account(Required)

Create A Username For Access

Create Password For Access(Required)

Coupon Code (If You Have One)

Select Payment Method(Required)

Credit Or Debit Card (Authorize.net)

Credit Or Debit Card (Stripe)

PayPal Method

Alternate Payment Methods

One Time (Lifetime) Administrative Fee 10.00

Price:

Total

Credit Or Debit Card (Stripe)

Credit Or Debit Card (Authorize.net))

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date

Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044

Security Code   Cardholder Name

Email

This field is for validation purposes and should be left unchanged.

The goal is to simply allow the user to register using minimal info and have will obviously have a blank dashboard.

From there a user will be able to then go through the exact process they do now and register a dog.