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First and Last Name*

Address*

Phone Number*

City or Town*

Postal Code*

Email Address*

How many dog(s) do you have?*

What breed is your dog(s)?*

How do you best describe your dog(s) with strangers? Click and add all that apply.*

If there are any issues with your dog(s) coming in contact with strangers, please explain?*

Is the entrance to your yard accessible without hassle?*

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Do you require we use biodegradeable bags for the particular city, town, or county you live in?*

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where did you hear about us?*

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Other things you may want to ask us or comment on?

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