* Boxes with a red star must be completed

Contact Information
Name *
Phone Number
Email
Where did you hear about Dog Dooty?	Please Choose The Spectator Oakville Beaver Burlington Post My Vet's Office Pet Store Municipal Office Dog Dooty Truck Radio Ad Surfing the web A friend Yellow Pages Lawn Sign Our Show Booth Other-Not Listed

Dog Information
Size of First Dog *	Please Choose Small Medium Large None
Size of Second Dog	Please Choose Small Medium Large None
Size of Third Dog	Please Choose Small Medium Large None

Appointment Information
City	Please Choose Hamilton Burlington Oakville Other
Postal Code
Date *