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Puppy Litter Listing Application Form

Puppy Litter Listing (Fee $35 - 6 months)

Enter all that apply

Kennel Name:
Contact Name:
Street Address:
City:(do not include comma ,)
State/Province:
ZIP/Postal Code:
Country, if other than US:
Phone:
Fax:
Email Address:
URL of your Kennel, if any:
Nr. of Litters so far this year:
Litter Date of Birth:
Nr. of Males:
Nr. of Females:

Comments about the litter:

Pet Quality Price:
Show Quality Price:
Date Available:
Deposit for Purchase:
Puppy's Sire:
Puppy's Dam:

* Your Kennel Name must be in our directory before we can list your puppy litter.

We cannot add your Puppy Ad to our list until payment is received.

Credit Card Nr.:
Expiration Date (mmyy):Enter a starting zero (0) for 1 digit months.
i.e. June 98 would be 0698


              or Fax this form to (703)273-5081
              or mail this form with payment to:
                            Chow Chow Central
                            10815 Woodhaven Dr.
                            Fairfax, VA 22030

                            703-359-7870 Voice-mail

Note! 1 picture can be included. You can Email the picture as an attachment or mail the picture and we will scan it for you. If you send it as an attachment, we would prefer .gif format.
If you can recommend any additional information or services or Links to Chow Chow sites.
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