Puppy Request Form

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First Name

Last Name

Email

Phone

Address

Gender

Male

Female

Either Male or Female

Puppy Size

Imperial Size 6-10 lbs.

Standard Size 11-16 lbs.

Either Size

Please add any additional information:

Puppy's Fur Color

Black & White

Black Mask Gold

Blue Cream

Brown Black Red (Tri Color)

Dobie

Dobie Liver

Isabella Cream White

Liver Chocolate

White Grey Black (Tri Color)

White Gold Black (Tri Color)

Any

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