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Date:
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Your full name:
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Full name of spouse:
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Email address:
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Home address:
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City, State Zip:
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How long have you
lived at this address:
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Home - cell - work phone:
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Type of home
Single Family-Apt-Duplex:
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Own or Rent:
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Does lease allow large dogs:
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Property size:
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Is property fenced:
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Where will RR sleep:
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Children/ages:
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Do you want a Ridgeback for
companionship, show or
and/or breeding:
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Male or Female:
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Black or Liver nose:
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Would you be interested in
a ridgeless:
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Would you be interested
in an older ridgeback:
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Other breeds considered:
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Experience in training basic
obedience:
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Issue's encountered in
raising/training other dogs:
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What other pets share
your home ?
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