Reservation Form

Below is our Reservation form. Please print it, fill in the information, and send it to the address listed, along with a check for deposit amount $150.00 US


NAME:

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ADDRESS:

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CITY, STATE, ZIP CODE:

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PHONE (Home):

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PHONE (Cell):

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EMAIL ADDRESS:

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LITTER OF CHOICE:

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SEX: _______M _______F


COLOR CHOICE:

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REMARKS:

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AMOUNT: $150.00

CHECK PAYABLE TO: JACKIE TATE

MAIL TO:
Shalgo Setters
1437 Dickerson Rd.
Goodview, Virginia 24095
Telephone: (540) 892-5646