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<div class='gform_heading'>
<h2 class="gform_title">The Scoop Newsletter</h2>
<span class='gform_description'></span>
<p class='gform_required_legend'>"<span class="gfield_required gfield_required_asterisk">*</span>" indicates required fields</p>
</div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_22' id='gform_22' class='scoop-form' action='/become-a-retailer/#gf_22' >
<div class='gform_body gform-body'><div id='gform_fields_22' class='gform_fields top_label form_sublabel_below description_below'><div id="field_22_8" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><p class="sign-up-text">Sign up to receive email communications, including our <span style="white-space:nowrap;">e-newsletter</span>, The Scoop, where you can be the first to know about social contests, new blog posts and more!</p></div><fieldset id="field_22_1" class="gfield field_sublabel_above field_description_below hidden_label gfield_visibility_visible" ><legend class='gfield_label gfield_label_before_complex' >Name</legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_22_1'>
<span id='input_22_1_3_container' class='name_first' >
<label for='input_22_1_3' >First Name</label>
<input type='text' name='input_1.3' id='input_22_1_3' value='' aria-required='false' />
</span>
<span id='input_22_1_6_container' class='name_last' >
<label for='input_22_1_6' >Last Name</label>
<input type='text' name='input_1.6' id='input_22_1_6' value='' aria-required='false' />
</span>
</div></fieldset></fieldset><div id="field_22_2" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_22_2' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></label><div class='ginput_container ginput_container_email'>
<input name='input_2' id='input_22_2' type='text' value='' class='large' placeholder='EMAIL ADDRESS' aria-required="true" aria-invalid="false" />
</div></div><fieldset id="field_22_3" class="gfield gfield--width-full pet-parent-radio gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible" ><legend class='gfield_label' >PROUD PARENT OF A<span class="gfield_required"><span class="gfield_required gfield_required_asterisk"> * <span class='sr-only'> Required</span></span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_22_3'>
<div class='gchoice gchoice_22_3_0'>
<input class='gfield-choice-input' name='input_3' type='radio' value='DOG' id='choice_22_3_0' onchange='gformToggleRadioOther( this )' />
<label for='choice_22_3_0' id='label_22_3_0'>DOG</label>
</div>
<div class='gchoice gchoice_22_3_1'>
<input class='gfield-choice-input' name='input_3' type='radio' value='CAT' id='choice_22_3_1' onchange='gformToggleRadioOther( this )' />
<label for='choice_22_3_1' id='label_22_3_1'>CAT</label>
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<div class='gchoice gchoice_22_3_2'>
<input class='gfield-choice-input' name='input_3' type='radio' value='BOTH' id='choice_22_3_2' onchange='gformToggleRadioOther( this )' />
<label for='choice_22_3_2' id='label_22_3_2'>BOTH</label>
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<div class='gchoice gchoice_22_6_0'>
<input class='gfield-choice-input' name='input_6' type='radio' value='NO' id='choice_22_6_0' onchange='gformToggleRadioOther( this )' aria-describedby="gfield_description_22_6" />
<label for='choice_22_6_0' id='label_22_6_0'>NO</label>
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<div class='gchoice gchoice_22_6_1'>
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<input class='gfield-choice-input' name='input_6' type='radio' value='Yes - 5 months old' id='choice_22_6_5' onchange='gformToggleRadioOther( this )' />
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<div class='gchoice gchoice_22_6_6'>
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<label for='choice_22_6_6' id='label_22_6_6'>Yes, they're 6 months old</label>
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<div class='gchoice gchoice_22_6_7'>
<input class='gfield-choice-input' name='input_6' type='radio' value='Yes - 7 months old' id='choice_22_6_7' onchange='gformToggleRadioOther( this )' />
<label for='choice_22_6_7' id='label_22_6_7'>Yes, they're 7 months old</label>
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<div class='gchoice gchoice_22_6_8'>
<input class='gfield-choice-input' name='input_6' type='radio' value='Yes - 8 months old' id='choice_22_6_8' onchange='gformToggleRadioOther( this )' />
<label for='choice_22_6_8' id='label_22_6_8'>Yes, they're 8 months old</label>
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<div class='gchoice gchoice_22_6_9'>
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<label for='choice_22_6_9' id='label_22_6_9'>Yes, they're 9 months old</label>
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<div class='gchoice gchoice_22_6_10'>
<input class='gfield-choice-input' name='input_6' type='radio' value='Yes - 10 months old' id='choice_22_6_10' onchange='gformToggleRadioOther( this )' />
<label for='choice_22_6_10' id='label_22_6_10'>Yes, they're 10 months old</label>
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<div class='gchoice gchoice_22_6_11'>
<input class='gfield-choice-input' name='input_6' type='radio' value='Yes - 11 months old' id='choice_22_6_11' onchange='gformToggleRadioOther( this )' />
<label for='choice_22_6_11' id='label_22_6_11'>Yes, they're 11 months old</label>
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<div class='gchoice gchoice_22_6_12'>
<input class='gfield-choice-input' name='input_6' type='radio' value='Yes - 12 months old' id='choice_22_6_12' onchange='gformToggleRadioOther( this )' />
<label for='choice_22_6_12' id='label_22_6_12'>Yes, they're 12 months old</label>
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<input class='gfield-choice-input' name='input_9.1' type='checkbox' value='Company Newsletters, Contests & More' checked='checked' id='choice_22_9_1' />
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<input class='gfield-choice-input' name='input_9.2' type='checkbox' value='Puppy Love for your pup's first year?' checked='checked' id='choice_22_9_2' />
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