The Family Dog

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HI! Please fill out my Doggie form:

(Required fields are starred *)

*E-mail Address:

Name:

Street Address:

City:

State:

Zip Code:

Country:
I like dogs: Yes, a lot  They are OK 
No No, I REALLY don't like dogs
Do you have a dog: Yes No
If you have a dog, what type is it? A full breed  A mixed breed 
A mutt  I don't know 
Comments or special instructions:
     


Allan Lauchlan
PO Box 808
Lakewood, CA 90714
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