| Your Name: |
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| Email Address: |
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| Home Phone: |
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| Cell or Work Phone: |
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| Mailing Address: |
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| City, State & Zip Code |
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| What litter are you interested in:Sire Dam: |
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Are you interested in a Male or Female or No Preference. |
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| Color: |
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| Are there other pets in home? |
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Indoor or Outdoor dog? And where will your golden live? |
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| Do you have a fenced yard? |
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| What is your interest in a Golden Retriever? |
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| What will your main use be with this puppy? |
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| Do you have children? If so ages? |
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A $300.00 non-refundable deposit will hold a puppy. We take Money Orders or Cashiers Checks made out to and mailed to: Kim Schnider, 29794 N. Wheatridge Rd., Athol, ID 83801 |
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