United Pet Pig Registry, Inc.© - A Non Profit Organization
Internet Registration Form

Registration fees are $15.00 (outside the US $20.00) for the first pet pig and $7.50 for each additional pet for the first year. After the first year the renewal fee for your pet(s) registration(s) will be a flat $15.00 a year, no matter how many pets you have registered, unless you register a new addition.

"Application for registration with the United Pet Pig Registry, Inc. is an agreement that this animal is not
to be used for reproduction purposes." If after registration fees are paid and your pet is used for reproduction
your membership with UPPR, Inc. will automatically be revoked for the lifetime of your pet.

Please print this form, enter your information, enclose check or money order, enclose a picture of your pig
(you can e-mail the picture to register@upprs.com if you prefer)
Make check to UPPR and mail to:
United Pet Pig Registry
PO Box 60635 / Reno, NV 89506

YOUR NAME: ___________________________________________________________________________

MAILING ADDRESS: _____________________________________________________________________

CITY: _____________________________________  STATE/PROVINCE: ___________________________

COUNTRY: _________________________________     ZIP/POSTAL CODE: ________________________

E-MAIL: _____________________________________________________

PHONE: _____________________________________________________

PET PIG(S) NAME: ____________________________________________

DATE OF BIRTH: _________________________   SEX: __________ COLOR: ______________________

SPAYED: _____________________ NEUTERED: __________________  DATE:  ____________________

WHERE DID YOU PURCHASE/ADOPT YOUR PET?

BREEDER: __________  PET STORE: __________  SANCTUARY: __________  OTHER: ______________

*DOES YOUR PET ALREADY HAVE A TATTOO ______  EAR NOTCH ______ OR MICRO-CHIP __________

IF YES, PLEASE GIVE IDENTIFICATION NUMBER _____________________________________________
* (It is very important for all pet pigs to be registered with an ID number to help with zoning issues and to be able to trace the pig if lost.
If you wish to purchase a micro-chip it can be purchased from most vets. It is also optional for the ID to appear on the pig, since it will
appear on the Registration Certificate, unless you are going to show or transport your pet from state to state.)

SIGNATURE: ______________________________________________ DATE ______________
(ALL FIELDS REQUIRED)