First Name
 What shall we call you.
Last Name
Phone Number
 Your phone number please.
E-Mail
 Your E-Mail please.Your E-Mail is required.
Your Interests
Black
Harlequin
Mantle
Merle
Male
Female
Either

 
Your Comments
Please make a selection.

If you're interested in our puppies, please fill out the form above.

If you have any questions, comments, or just to say HI, please contact
Lynda Orszulak or Amanda Grantom by E-Mail:

MDDanes@aol.com

or by phone: 910 346-5547

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