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KALM SEA GOLDEN RETRIEVERS

Susan Robins

531 Ongs Hat Road

Southampton, NJ 08088

609.859.4212

kalmsea@comcast.net

Application for Potential Puppy/Dog Buyer                     Date:  

________________________________________

Name:

Address:

Home phone:                                                         Mobile phone:

E-mail address:  

Your Occupation:

Spouse’s Occupation:  

How did you learn about us?  

Why did you decide to purchase a Golden Retriever?

Have you ever owned a dog before?               What breed?

What became of it/them?

Do you prefer a Male _____or a Female _____ puppy or an adult? _____

Why?  

For what purpose are you purchasing a Golden Retriever?  (Check all that apply)  Family pet_______ Obedience_____ Show_____ Agility____ Field_____

Hunting ___Tracking ____Therapy_____ Breeding ____Other___________

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