Lisa’s Hollands Waitlist Form

Lisa’s Holland Lops

Wait List
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you over 18?*

YesNo my parents will contact you.
Have you read my Policy?*

YesNo
I am located West Milford WV, 26451 are you willing to travel here? I do not meet.*

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

YesNo
Gender*

BoyGirlNo 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
Should be Empty:

Lisa’s Holland Lops