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2. Animal Information
4. Date Lost
   Date Lost
5. Type of Pet

   1. Cat

   1. Dog
7. Breed
8. Sex

   1. Female

   1. Male
10. Color
11. Weight
13. Pet's Name
14. Neutered / Spayed

    1. No

    1. Yes
16. Collar / Tag
    include color
17. Address Where Animal Was Lost
19. Contact Information
21. Name of Person to Call
22. Phone Number
24. May the phone number above be give to the people that say they may have found your pet?

    1. No

    1. Yes
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

* indicates a required field