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Please print the following form and send the completed
form to us with your deposit. If you need to contact us please e-mail Chris directly
at: emanuelhomesteadgoldens@yahoo.com
* = Required Field * Name: * E-Mail address: * Address: * Phone#: Number of children: Children's ages:Have you had a puppy before? No Yes If yes, what kind? How long ago? Do you plan on breeding this dog? * How did you hear about us/our dogs? Are you interested in a Male or Female? Do you have any other animals?(If yes, what kind?) When is the best time to reach you? If you have any questions or comments, please type them here:
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