Libertine USA

 
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Life-time Registration

Now you and your dog can become Life-time Registered Members of

Libertine USA all American Breed

Life-time Registration Form

 

First Name

 

Last Name

Please indicate if the Dog's Last name is different than the registered members last name.

Dog's Name

Only the year of birth is required. You may submitt the entire birthday if you prefer.

Dog's Year of Birth

Please avoid PO Boxes.

Address 1

 

Address 2

City

State

Zip

Home _____ Cell _____ (check one)

Phone

Do you wish to specify an Animal Society other than the Iams Friends for Life Fund?

Yes

If so, please make my donation to the following animal organization

If so please provide organization's complete web address. If no web address is available please submit complete mailing address via email to: donations@libertineusa.com

If you are registering multiple dogs, please be sure to let us know so that we may keep your family pictures together.

Please feel free to leave comments about our site , we would love to hear from you!

How did you hear about Libertine USA?

By clicking the Register link you will be taken from
this page to the PayPal link for payment of $24.95

Please email your picture of you and your dog to:
memberpics@libertineusa.com

All Libertine USA Lifetime Memberships are transferrable to the new owners should a member be sold to given away. Please contact us immediately if a Libertine USA member should be posted to the Memorial Page.

Lifetime Registration only $24.95

libertineusa

Note that you are not required to have
or even signup for a Paypal account

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Terms of Use | Copyright |User Agreement

Copyright © 2007, Libertine USA. All rights reserved. Reproduction in whole or in part in any form or medium without express written permission of Libertine USA is prohibited and strictly enforced. Newsletters may contain links to sites on the Internet owned and operated by third parties. Libertine USA is not responsible for the availability of, or the content located on or through, any such third-party site. Information in this document is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability, fitness for a particular purpose and freedom from infringement. The user assumes the entire risk as to the accuracy and the use of this document. We will not be liable for any damages of any kind arising from the use of this information, including, but not limited to direct, indirect, incidental, punitive, and consequential damages.