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Address: 
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Phone: 
86
Email: 
yekyopbme1978@yahoo.com
Dog's Name: 
Janette
Sex: 
Female
Neutered/Spayed: 
NOT Neutered
Immunization Dates: 
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Vet name / Other health info: 
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Class: 
17
Waiver: 
I Agree
Photo Release: 
I Agree