New Client Registration Form

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Your Details

*	Name
*	Street Address
*	Town/City
	Postal(Zip) Code
*	Phone
*	Email

Pet Details

	Pet Name
	Pet Species
	Breed
	Coloring
	Sex		-Select- Male Male (castrate) Female Female (neuter)
	Date of Birth/Age
	Comments

Pet Details 2

	Pet Name
	Pet Species
	Breed
	Coloring
	Sex		-Select- Male Male (castrate) Female Female (neuter)
	Date of Birth/Age
	Comments

Pet Details 3

	Pet Name
	Pet Species
	Breed
	Coloring
	Sex		-Select- Male Male (castrate) Female Female (neuter)
	Date of Birth/Age
	Comments

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