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2. 
4. First Name*
5. Last Name*
7. Phone Number*
9. Address of Owner*
11. City*
12. Zip*
14. Email of Owner*
16. Date Pet Went Missing*
    Date Pet Went Missing
17. Where Pet Went Missing*
19. Type of Animal*
21. Breed*
23. Colors*
25. Sex*
27. Age of Animal*
29. Spayed or Neutered?*

    1. Yes
    2. No
31. Weight
33. Pet's Name*
35. Does the animal have a collar on?*

    1. Yes
    2. No
    3. Unsure
37. What color is collar?
39. Does the animal have tags or a microchip?*

    1. Yes
    2. No
41. Microchip # (if available)
43. Submit photo of lost pet
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45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field