Your Name
e
Email Address
Address
City
Do you own or rent?
Rent
Own
Do you have a yard?
Yes
No
If so is the yard fenced?
Yes
No
How many hours in the day will the puppy/dog be left home alone?
How many people under the age of 12 live in the household?
How many people over the age of 12 live in the household?
What is the primary caregiver's occupation?
High School/College Student
Employed Part Time
Employed Full Time
Full time homemaker/retired
What type of puppy/adult are you looking for?
Pet Puppy
Pet Adult
Show Puppy/Adult
Do you have a gender preference?
Female
Male
Either
Do you own any other pets?
Yes
No
If so what other pets do you have?
Please provide name and phone contact
information for 3 references
Your Phone Number
Thank you for filling out our puppy questionaire. We will be in touch very
shortly. Please be advised our puppy prices for a pet quality male are 1400.00
and our pet quality females are 1600.00