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Contact information
Please fill out answers to the best of your ability to better help me get to know you, your family and your lifestyle to better place you with the correct puppy.
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Email
*
Your email
Email Address
*
Your answer
What breed are you interested in?
*
American Hairless Terrier
Flat Coated Retriever
Name
*
Your answer
What pronouns do you use?
Your answer
Address
*
Your answer
How long have you lived at this address?
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Your answer
Phone (please list all numbers you can be reached at)
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Your answer
Referred by?
Your answer
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