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Your name:
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Your email address:
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Your phone number: or numbers:
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Your Address:
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Chinchilla name / number:
Chinchilla Birth Date:
Chinchilla Ready Date:
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Price:
Chinchilla #2 name / number (if applicable):
(If only getting one chinchilla just skip these 4 boxes for Chinchilla number 2.)
Chinchilla #2 Birth Date: (if applicable):
Chinchilla #2 Ready Date, (if applicable):
Chinchilla #2 Price (if applicable):
Chinchilla Pairs / Groups: Just copy and paste the Pair or Group info here:
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Payment Method:
(Example: PayPal, Check)
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I have read understand, and agree to the Sales Policy . (please check box) :
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Amount being sent:
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Balance due in CASH at pick up:
Pick up will be in TN (please check box if applicable):
Pick up:Please enter town and state here, (example: I live in Beechgrove TN, my family lives in Latrobe PA):
Pick up will be in PA, or on the way to PA. (example, KY, OH, Wheeling WV, or PA) Please check box if applicable :
Other Comments:
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Areas must be filled out.
Remember to bring a Carrier with you!!!!
Make sure you hit the submit button. Then click here to go to our Pay Pal Box.