Lisa’s Hollands Waitlist Form

Lisa’s Holland Lops

Wait List
Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Are you over 18? *

Yes No my parents will contact you.
Have you read my Policy? *

Yes No
I am located near Clarksburg WV, are you willing to travel here? I do not meet. *

Yes No
Color preference ( example harlequin.. orange.. white..chocolate.. no preference) *
Do you need a pedigree? *

Yes No
Gender *

Boy Girl No Preference
Please Follow my Blog : LisasHollandLops.art.blog for updates.

Feel Free to Text me at 304-695-9821 or Email at LisasHollands@yahoo.com
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Lisa’s Holland Lops