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Please cut and paste this page to me

Name:

E-Mail:

Comment:

Coat color preference:

Male or Female:

What activities will you doing with the puppy?:

Will anyone be home with the puppy at night?:

Please describe your facilities if the puppy is to spend long periods outside:

Is this your first Labrador Retriever?:

List all other animals you have at home now:

I know most people expect to make a commitment to care for a puppy for the rest of its life. However, sometimes unforeseen circumstances dictate that you cannot keep the puppy. In the event that this happens, are you willing to allow me the first right to get the dog back?:

If your dog swallows a sock and needs surgry that cost $1,100.00 are you willing to heave that done?:

Thank you for completing this form. We will contact you either by telephone or e-mail within 24 hours. For more information or to get on our waiting list please contact.



Phone Number: 540-294-0642

E-mail Tonya at Bell Creek Labs  

Tonya Goble, Churchville, Va. 24421


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