CROATIAN KENNEL CLUB
T: +385(0)1 4846 124; +385(0)1 4846 126
Ilica 61, 10000 Zagreb
F: +385(0)1 4815 356 E: rodovnice@hks.hr
W: www.hks.hr
Duplicate of export pedigree
DOG DETAILS
Breed
Name of the dog
Pedigree number
Tatoo number/ Microchip
Born
Sex
Breeder
OWNER DETAILS
Name and surname
Address
Postal code and city
State
Phone / Cell
E-mail
Fee for the duplicate of the export pedigree is 30 Euro.
Payment can be done to bank account or with credit card.
Duplicate of the export pedigree is being issued at request of (please circle) 1) Owner
2) Breeder
PAYMENT TO BANK ACCOUNT
Croatian Kennel Club, Ilica 61, 10000 Zagreb
Zagrebačka banka d.d
2360000-1000000013
Kto.No 2400026293 – 3206548
SWIFT ZABA HR2X
IBAN code HR5723600001101353640
Date and place:
PAYMENT WITH CREDIT CARD ( additional amount of
5% will be charged to cover the costs of card payment)
Type:
VISA
DINERS
MASTER CARD
Card no._______________________________________
CVV/CVC code _____
Expiry date ___ ___
Total amount ______ Euro
Credit card holder:________________________________
Signature: