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D4R Aussies of Shell Creek Montana

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Waiting List Request Form

First name*

Last name*

Address*

Email*

Phone*

Sex*

Male

Female

No Preference

Color/Markings*

Red Merle

Blue Merle

Black Tri

No Preference

Other

Desired Litter

Household Information - Please include purpose of puppy or other helpful information.*

Additional Information

760-379-7074

d4raussies@gmail.com

Ennis, Montana, USA

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D4R Aussies of Shell Creek Montana

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