Agent Authorization Form
 
 

   I/We _______________________________(name of membership) designate the
   following person(s) to have authority to sign all documents on behalf of this membership:

   Name:_____________________________Signature:__________________________
 

   Name:_____________________________Signature:__________________________
 

   Name:_____________________________Signature:__________________________
 

   Name:_____________________________Signature:__________________________
 
 

When Signing documents, agents should sign " name of membership by agent name" Example
"The Stud Farm by John Doe". The Signature of one agent will be considered sufficient unless
other direction are listed in the space below or attached to this form.
 

Pedigree International LC  will consider this agent(s) authorized to sign on behalf of the Breeder/Client  until a revised authorization form is received by Pedigree International .



Please print, fill out and mail this form to:

Pedigree International
3326 South First Road
Humansville, MO 65674

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