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Hearts of Gold Retrievers
APPLICATION
E-mail Address:
*
First and last name of all adults in household:
*
Your address:
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City:
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State:
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
--U.S. Territories--
American Samoa
Federated States of Micronesia
Guam
Midway Islands
Puerto Rico
U.S. Virgin Islands
Zip:
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Telephone Number:
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Do you have a color preference?
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No Preference
Light Golden
Golden
Dark Golden
Do you have a sex preference?
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Female
Male
No Preference
How did you find us?
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AKC
Web search
From friend or family
Asked where a person got their dog
Web search
Do you presently or have you in the past owned a golden? What attributes are you looking for in your golden?
Do you own other pets?
*
Required