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SHIBA WORLD

FOR THE LOVE OF SHIBAS!

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 Name:       ______________________________________________________

 

Address:    ______________________________________________________

                                                                                    Street/PO Box     

______________________________________________________

                    City              State/Province        Country             Postal Code

Please state your interest in the breed:

_______Pet Owner  _______Obedience  _______Agility

_______Conformation Exhibitor  _______Handler  _______Breeder

_______Other (Please explain): _____________________________________

  Referred by: Lynda Birmantas Beam

 Send this form and a check or money order for $40.00 for one year to:

SHIBA WORLD, 5271 Hillside Drive, Warrenton, VA 20187  USA

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Last modified: 01 January 2009
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