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	Shippers Name:__________________________________________________________ Shippers Address:_________________________________________________________ Shippers Phone #:_________________________________________________________ Breed of Dog Shipping:____________________________________________________ Weight of Dog Shipping:___________________________________________________ Size Crate Needed:________________________________________________________ Shipping Pick Up Date Requested:___________________________________________ Receivers Name:__________________________________________________________ Receivers Address:________________________________________________________ Receivers Phone #:________________________________________________________ Pet Received in Good Condition by:__________________________________________ Date Pet Received:________________________________________________________
		Please make 2 copies of this page. Place 1 in your plastic shipping envelope and paste 1 into an email with the information filled in and send to DPMBulldogs@aol.com so we can make arrangements for your pick up and delivery.