Email Address Update Request

Owner's Current Information:
	First Name*
	Last Name*
	Address*
	City*
	State / Province*	--Select A State--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
	Zip / Postal Code*
	Phone Number
	Email Address*
		When you request your Access Code, it will be emailed to the address provided above.
Owner's Information At Time Of Registration:
The below section should be completely filled out if your name and/or address has changed since you registered the dog or had the dog transferred to you.  If nothing has changed, please select “Check here if same as Owner's Current Information.”
		Check here if same as Owner's Current Information
	First Name*
	Last Name*
	Address*
	City*
	State / Province*	--Select A State--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
	Zip / Postal Code*
	Phone Number
	Email Address
Dog Information:
	Registered Name
	Certificate Issue Date*
	Registration Number*
	Dog's Date of Birth
	Breed*	--Please Select A Breed--AffenpinscherAfghan HoundAiredale TerrierAkitaAlaskan MalamuteAll American DogAll American DogAmerican English CoonhoundAmerican Eskimo DogAmerican FoxhoundAmerican Hairless TerrierAmerican Staffordshire TerrierAmerican Water SpanielAnatolian Shepherd DogAustralian Cattle DogAustralian ShepherdAustralian TerrierAzawakhBarbetBasenjiBasset HoundBeagleBearded CollieBeauceronBedlington TerrierBelgian LaekenoisBelgian MalinoisBelgian SheepdogBelgian TervurenBergamasco SheepdogBerger PicardBernese Mountain DogBichon FriseBiewer TerrierBlack Russian TerrierBlack and Tan CoonhoundBloodhoundBluetick CoonhoundBoerboelBorder CollieBorder TerrierBorzoiBoston TerrierBouvier des FlandresBoxerBoykin SpanielBracco ItalianoBriardBrittanyBrussels GriffonBull TerrierBulldogBullmastiffCairn TerrierCanaan DogCane CorsoCardigan Welsh CorgiCavalier King Charles SpanielCesky TerrierChesapeake Bay RetrieverChihuahuaChinese CrestedChinese Shar-PeiChinookChow ChowCirneco dell'EtnaClumber SpanielCocker SpanielCollieCoton de TulearCurly-Coated RetrieverDachshundDalmatianDandie Dinmont TerrierDoberman PinscherDogo ArgentinoDogue de BordeauxEnglish Cocker SpanielEnglish FoxhoundEnglish SetterEnglish Springer SpanielEnglish Toy SpanielEntlebucher Mountain DogField SpanielFinnish LapphundFinnish SpitzFlat-Coated RetrieverFrench BulldogGerman PinscherGerman Shepherd DogGerman Shorthaired PointerGerman Wirehaired PointerGiant SchnauzerGlen of Imaal TerrierGolden RetrieverGordon SetterGrand Basset Griffon VendeenGreat DaneGreat PyreneesGreater Swiss Mountain DogGreyhoundHarrierHavaneseIbizan HoundIcelandic SheepdogIrish Red and White SetterIrish SetterIrish TerrierIrish Water SpanielIrish WolfhoundItalian GreyhoundJapanese ChinKeeshondKerry Blue TerrierKomondorKuvaszLabrador RetrieverLagotto RomagnoloLakeland TerrierLancashire HeelerLeonbergerLhasa ApsoLowchenMalteseManchester TerrierMastiffMiniature American ShepherdMiniature Bull TerrierMiniature PinscherMiniature SchnauzerMudiNeapolitan MastiffNederlandse KooikerhondjeNewfoundlandNorfolk TerrierNorwegian BuhundNorwegian ElkhoundNorwegian LundehundNorwich TerrierNova Scotia Duck Tolling RetrieverOld English SheepdogOtterhoundPapillonParson Russell TerrierPekingesePembroke Welsh CorgiPetit Basset Griffon VendeenPharaoh HoundPlott HoundPointerPolish Lowland SheepdogPomeranianPoodlePortuguese Podengo PequenoPortuguese Water DogPugPuliPumiPyrenean ShepherdRat TerrierRedbone CoonhoundRhodesian RidgebackRottweilerRussell TerrierRussian ToySalukiSamoyedSchipperkeScottish DeerhoundScottish TerrierSealyham TerrierShetland SheepdogShiba InuShih TzuSiberian HuskySilky TerrierSkye TerrierSloughiSmooth Fox TerrierSoft Coated Wheaten TerrierSpanish Water DogSpinone ItalianoSt. BernardStaffordshire Bull TerrierStandard SchnauzerSussex SpanielSwedish VallhundTibetan MastiffTibetan SpanielTibetan TerrierToy Fox TerrierTreeing Walker CoonhoundVizslaWeimaranerWelsh Springer SpanielWelsh TerrierWest Highland White TerrierWhippetWire Fox TerrierWirehaired Pointing GriffonWirehaired VizslaXoloitzcuintliYorkshire Terrier
	Color
	Variety
	* I certify that I am the AKC owner of record of the dog identified above
Additional Information
	If you are not sure of the Mailing Address and/or Owner's Name you provided when you registered the dog, please provide at least one more name and address you have used to register a dog with the AKC. The more information you provide, the more likely we will be able to fulfill your request.