Breeder Signup

Please enter your Personal Information below to start booking your puppies on MyLittlePuppy.
Contact Information
* First Name:
* Last Name:
* Physical Address is Required:
Mailing Address (if different):
* City:
* Zip:
* Country:
* State:
* Primary Phone:
Mobile Phone:
Work Phone:
* Email Address:
* Confirm Email Address:
Secondary Email Address:
Confirm Secondary Email Address:
* Username:
* Password:
* Confirm Password:
* Kennel Name:
Website URL:
Facebook URL:
Twitter URL:
Instagram URL:
* How Long Have You Been Breeding?
* Why Do You Breed?
* Tell Us About Your Self:
* How Did You Hear About Us?:
Do You Microchip Your Puppies?
If Available upon request, what is the additional cost?
Default Air Shipping Charge?
Default Ground Shipping Charge?
Default Other Shipping Charge?
Default Other Shipper
* If you could tell a potential customer one thing about you and your puppies, what would it be?
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* USDA Dog breeder License #:
USDA # Exempt:
* State Dog breeder License #:
State # Exempt:
* Preferred Method of Payment:
Spay/Neuter Contract:
Puppy Travel
* What Days Can You Ship Puppies?
* Are you able to ship to Anchorage, Alaska?
* Are you able to ship to Montreal, Canada?
* Are you able to ship to Toronto, Canada?
* Are you able to ship to Vancouver, Canada?
Program Participation
I want to participate in Honored Service Discount:
Veterinary Contact Information
* Vet's Name:
* Vet's Address #1:
Vet's Address #2:
* Vet's City:
* Vet's Zip:
* Vet's Country:
* Vet's State:
* Vet's Primary Phone:
Facility Images or Videos: Select One or More Videos:
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Facility Uploaded Images/Videos
* = Required