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Jordan
Male
Golden Retriever
Waitlist
Name
(Required)
First
Last
Email
(Required)
Breed
(Required)
Goldendoodle
Miniature Goldendoodle
Golden Retriever
Pembroke Welsh Corgi
Airedale Terrier
BrilliantPad
Cavalier King Charles Spaniel
Gender
(Required)
Select One
Female
Male
Dam
(Required)
Queenie
Town’s Edge Hailey
Krissie
Misty
Mia
Waitlist Deposit
No
Yes
Reserve your spot with a $500 deposit.
Total
Address
Street Address
Address Line 2
City
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Afghanistan
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Algeria
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Israel
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Jordan
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Korea, Republic of
Kuwait
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Panama
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Poland
Portugal
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Qatar
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Rwanda
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(Required)
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
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Year
2024
2025
2026
2027
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2039
2040
2041
2042
2043
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Cardholder Name
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Jordan
Male
Golden Retriever
Jordan
Male
Golden Retriever
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