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Your Name
Your Location
Your email address
A phone number you can be reached at
In the event shipping is necessary - Name of closest airport or transport and contact information
Breed you are interested in (at this time we only have Mini Satin)
What variety or varieties?
Are you a youth or adult?
If you are a youth, are you a member of 4H?
Do you want pet, breeding, or show quality
Do you currently have rabbits
Are you a member of American Rabbit Breeders Association
Number of Does you want
Number of Bucks you want
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