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Doggy License Order Form - Page 2 -

Please Type or Print Your Name, Shipping Address, and Email Address
FIRST NAME
 LAST NAME
STREET ADDRESS
  
CITY
 STATE
 ZIP
EMAIL ADDRESS

Please Type or Print Your Doggy License Info
DOGGY NAME
 HOW DID YOU FIND US?
STREET ADDRESS (ONE LINE ONLY)
  
 USE MY SHIPPING ADDRESS
CITY
 STATE
 ZIP
LICENSE NUMBER (MAX 10 DIGITS. EXAMPLE: PHONE#)
 GENDER (M/F)
HAIR (MAX 7 DIGITS. EXAMPLE: BLN,BRN/WHT,MULTI)
 EYES (MAX 3 DIGITS. EXAMPLE: BRN,HZL)
HEIGHT (MAX 3 DIGITS. EXAMPLE: 10",2FT,2-6)
 WEIGHT (MAX 3 DIGITS.)
 DOB (MM-DD-YY)