| Email Address:: |
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| Your Name |
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| Address: |
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| City: |
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| State/Zip: |
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| Work Phone: |
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| Cell Phone: |
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| Home Phone: |
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| Spouse Name: |
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| Spouse Cell Phone: |
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| Spouse Work Phone: |
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| Do you Own or Rent?: |
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| If rent, Landlord's Name and Phone number:: |
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| Is your yard fenced? Describe: |
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| Do all family members work outside the home?: |
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| Preferred sex of puppy: |
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| Do you plan to compete with dog? (show/obedience/agility/etc.): |
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| List other pets (name, breed, sex): |
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| Where will dog be when no oneis home?: |
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| Where will dog sleep at night?: |
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| Do you realize how big a mastiff gets? (have you done your homework?): |
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| Do you understand this dog will slobber/drool?: |
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| Giant breed dogs MUST be obedience trained and socialized. Are you willing to do these things?: |
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| Do you have children? |
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| Childrens' Ages and Sex:: |
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| Vet's Name, Address, Phone number: |
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| Reference 1: |
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| Reference 2:: |
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| Reference 3:: |
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| Comments?: |
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