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*Note:  Please realize that completing this questionnaire is in no way a commitment on your part to purchase a puppy from us, or on our part to place a puppy in your home.  It is simply a way to get to know you better.

 

Please provide the following contact information:

Name
Home Phone
E-mail
URL

What are you looking for?

Select any of the following options that apply:

Male
Female
Puppy
Older Dog
Show
Breeding
Pet
Obedience
Agility

 

Color Preference:

Choose one of the following options:

Brindle
Black
Fawn
No Preference


How many adults live in your home?

How many children?

Your children's ages?

How many dogs do you currently have?

 

Any other pets?


Tell me about your lifestyle, work schedule, etc ... ?

Tell me about your home?

Choose one of the following options:

Is the area you live in :

Rural
Suburban
City

Do You?

Rent
Own

Will your new puppy live:

Indoors
Outdoors

Will this puppy have access to a fenced yard?

Yes
No

Are you comfortable crate training a puppy?

Yes
No

Tell me about your experience with dogs... ?


Please provide two references below...


Are you willing to pick up your puppy?

Yes
No

Will you need your puppy shipped?

Yes
No

 

 

 

 

E-Mail Me

 

 

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