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PUPPY APPLICATION

Buyer Name
Your Email Address
Street Address
City, State, Zip Code
Home Phone
Work/Cell Phone
Where did you learn about this litter?
Why have you decided to purchase a Golden
Retriever?
Main Use: (Pet, Hunting, Field Trial, Hunt Test,
Obedience, Agility, Tracking)
Other:
Sex Preference: (Female, Male, Any)
Color Preference
Are There Children In Your Household? How Many?
Ages Of Children:
Are There Other Pets In Your House?
Will You Neuter Your Pup?
Where will your dog be most of the time?
Indoors, Outdoors In Fenced Yard, dog run?
Will Pup Need To Be Shipped?
Nearest City to ship to:
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