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First Name:*

Middle Initial:

Last Name:*

Email:*

Primary Phone:*

Secondary Phone:

Business Phone:

Business Address:*

City:*

State:*

Zip:*

Dog Breeder

Cat Breeder

Kennel

Trainer

Trainer and Kennel

Dog Breeder

Cat Breeder

Kennel

Trainer

Trainer and Kennel

Dog Breeder

Cat Breeder

Kennel

Trainer

Trainer and Kennel

Number of Dogs:*

Number of Cats:*

Breeding females:*

How often is each female bred?*

Number of puppies or kittens produced annually?*

At what age do you start breeding your females?*

Do you require new pet parents to sign a contract?*

What is the name of your business?:*

Breeding or training website URL, if applicable:

Facebook URL:

Instagram URL:

TikTok URL:

YouTube URL:

What registrations or licensing does your business have?*

Business License

Upload

Proof of Insurance

Upload

What brand of food are you currently feeding?*

What Formula(s)?

What brand of food and what recipe do you currently recommend?*

Which VICTOR formula are you interested in feeding?*

What do you like most about VICTOR?*

How many pounds of food do you typically feed per year?*

Are you part of any other brand's breeding programs?*

Yes

No

If so, what brand(s)?

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