Herding Master Title Application Form

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Performance Events
Herding Master Title Application Form
Effective January 1, 2012 a Herding Master title may be earned when a dog passes a class eight additional times, after
earning its initial title in a trial class (level-course-stock). The Master title is designated by the addition of the letter M
on the end of existing titles. The owner shall record each of the eight passes on this form. Once eight passes have been
completed, this form is submitted to the AKC Performance Events Department. Upon verification, the title is placed
on the dog’s record and will appear on the dog’s pedigree. No title certificate will be issued unless ordered through the
use of this form for a fee of $20. Ordering a title certificate is at the discretion of the owner. The Master level title will
supersede the initial title earned in the class. For example, HSASM will supersede HSAS on a dog’s pedigree. Please
keep a copy of this form for your records.
Owner Name: _____________________________________________________________________________
Address: _________________________________________________________________________________
Telephone: _______________________________ Email: __________________________________________
Dog Name: _______________________________________________________________________________
AKC Reg. Number: ___________________________ Breed: _______________________________________
Class for which application is being submitted: ________________________; _________; _______________
(Level)
(Course)
(Stock)
Events at which additional passes were earned: * Note: passes must be acquired after January 1, 2012.
Club Name:
Date:
Event Number:
1.
2.
3.
4.
5.
6.
7.
8.
With a new title, would you like an updated AKC Pedigree?
_$20.00
3 Generation Pedigree w/ Title: $25.00
Title Certificate:
(optional)
4 Generation Pedigree w/ Title: $32.00
Pedigree: ________________
Total amount submitted: ________________
Submit to: AKC Performance Events
Attn: PE Titles
Submitted on: ________________
8051 Arco Corporate Drive, Suite 100
Raleigh, NC 27617-3390
E-mail:
FAX: (919) 816-3905

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