Change of Ownership Request
Please complete, attaching copies of any
documentation to support your request and return to:
Petlog, 4A Alton House Office Park, Gatehouse Way,
Aylesbury, Bucks HP19 8XU Tel: 0844 463 3999
Surname:
Initials:
Mr/Mrs/Ms/Miss
Full Address including Postcode:
Telephone Numbers
Including Area Code
Home:
Work:
Mobile 1:
Mobile 2:
Emergency:
E-Mail address:
Name of Pet:
Date of birth/approx age:
Species (please circle)
Dog
Cat:
Other, please state:
Breed:
(eg: Border Collie/ Xbreed/mixed breed/domestic shorthair)
Sex (please circle)
Male
Female
Neutered YES / NO
Colour:
Microchip Number (15 digits)
To assist in processing your request successfully, please attach copies of any documentation including: bill of sale,
vaccination records, rehoming forms etc, if you are unable to supply these then please provide brief details below on how
you obtained the pet below:

I hereby apply to transfer the ownership details of the above named pet. In the event that documentation or authorisation
from the previous owner has not been provided by me, I understand that Petlog may contact the current recorded owner for
confirmation of the change. On the basis that should there be a subsequent objection after the change, Petlog reserves the
right to review the situation and cancel the change, and where applicable any associated registrations if deemed necessary.

I understand that the information I have given on this form will be retained by Petlog and hereby agree that it may be
disclosed to any person or persons involved in securing the welfare of the pet above.
Signature
1.
Date
Please charge £15 to my credit/debit*card
Visa
Mastercard
(delete where applicable)
Delta
Switch/Maestro
Electron
Card Number
Expiry date
2.
/
Issue No
CCV No
Cheques made payable to Petlog for £15.00 enclosed
Signature
Date
Your name, contact details and email address will be retained by the Kennel Club* From time to time, the Kennel Club may contact you by mail, email, telephone to tell you about our
related services available. By providing us with your address, telephone number or email address and registering with us you consent to being contacted by these methods for these
purposes.
If you do not wish to receive details of services from the Kennel Club*, please tick this box.
* Petlog is managed by the Kennel Club
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