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Your name Your home address City State Zip Your email address Your phone number I AM PLACING A NON-REFUNDABLE HOLDING DEPOSIT ON PUPPY Sired by Dam Puppies name Male Date of birth Female Color Or if placing a deposit on a future litter Color CLASSIC FAWN FAWN AND WHITE No preference CLASSIC BRINDLE BRINDLE AND WHITE WHITE Buyers Signature Please send deposit to Jeannie McElroy 196 Mary C Grubbs Hwy Walton KY 41094.
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The purpose of your home address is to provide a physical location for communication and identification purposes.
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