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Name
Last Name
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What is the purpose for your puppie?
Pet
Service dog
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Are you looking for a male or Female?
Male
Female
Doesn't matter
Do you live in a:
House
Town House
Apartment
Do you have Children under 2 years old?
Yes
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Do you have a fenced yard? aprox size of your yard?
Do you own any other pets? i.e. another dog (list age, breed & sex), cats, rabbits, birds, etc
How do you hear about us?
Purchased a puppy previously?
Google
Maximusgolden.com
Referral
Other
Send
Thanks
maximusgoldeninc@gmail.com
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