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Application

First Name

Last Name

Email

Phone Number

Who will be the main caretaker for the puppy? Will he/she have the time to dedicate to the care and training required of a puppy? *

Do you have any other pets? What are they? How many? *

Do you have a trusted veterinarian or one lined up? *

How Did You Here About Us?

Are you interested in a male or female? *

Any Questions For Us?

Thanks for submitting!

Golden Acre Retrievers

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