Jack Russell Interest Form

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Jack Russell Interest Form

Are you interested in one of our upcoming litters of Jack Russells? Fill out the form below and you will be the first to be contacted the next time we have a litter of puppies. This is just an interest form, so if no obligation.

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Name

Your answer

Email *

Your answer

Phone Number

Your answer

Color Preference of Puppy

Black, White & Brown (Tri-Color)

Black & White

Tan & White

Clear selection

Coat Preference

Smooth Coat

Broken Coat

Clear selection

Gender Preference

Female

Male

Male or Female - Personality is more important

Clear selection

Any questions or requests?

Your answer

Submit

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