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Crossbreeders
370 Wooten Rd
Grant Al, 35747
Kennel Name _____________________________________________
Owner Name and Address_____________________________________
_____________________________________________________________
_____________________________________________________________
SIte URL ____________________________________________________
E-mail address________________________________________________
How long have you been breeding ? _________________
What type do you breed ? ____________________________
____________________________
______________________________
Name 3 references .....
NAME ,Address and Phone numbers
VET REFERENCE
Name
Address
telephone
Cost is 50.00 if accepted