E_puppies

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(*) Name:

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(*) Zip code and place:

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Telephone number:

(*) Mobile telephone number:

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(*) Last 4 figures IBAN no.:

(*) Name account-holder:

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You receive an e-mail when your fee of € 50,00 is received and processed  (**)           

What kind of Goldendoodle would you prefer?

What size of Goldendoodle would you prefer?

Do you choose for this breed due to allergies?

Do you have other questions, wishes

                   or remarks?

Have you visited one of our open days?

When did you fill in this form?

We inform you by e-mail and by the website when puppies are born.

IBAN nummer  NL95 RABO 0125 8466 30

BIC RABO NL2U

Rabobank Tilburg

Registration form

                   Goldendoodle

 If yes, date;

F1

F1b

No preference

Large

Small

No preference

No

allergy

Mild

allergy

Severe

allergy

Yes

No, we would like to be visit the next opportunity.

No

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If it is a problem to send this form? Download that form and send it by e-mail; >>>

How did you find us?

By

internet

By

friends

By other

Goldendoodle

owners

Other, namely...