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Puppy Application-
When it comes to placing our puppies with new families, it is very important to us that potential new owners have the knowledge, ability, facilities, time and resources to provide an exceptional home where each pup will receive the love, care and attention it needs in order to live a long, happy and healthy life. To assist us in choosing suitable buyers for our pups, we ask that you fill in the following application form. We greatly appreciate your cooperation in providing this information to us and hope that you understand that we have the best interests of both our puppies and our potential buyers at heart in requesting it.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
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Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
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Email
Are you or your spouse Military?
*
Yes
No
If yes, what branch?
Will you or your spouse be deploying or PCSing in the next 6-12 months?
Only answer if you answered yes to pervious questions.
Do you live in a
*
House
Mobile Home
Apartment/Condo
Do you
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Own
Rent
If you rent, are you able to provide us with documentation or landlord contacts to verify?
*
Yes
No
Puppy Questionnaire
Please specify the Unique Puppy ID #
*
If more then one puppy please list all
What sex puppy are you interested in?
Male
Female
Undesided
Do not answer if you entered ID #
What Color are you interested in ?
What personality type are you looking for?
Are you planning to show/Breed this puppy?
*
Yes
No
Are you willing to sign a spay/neuter contract?
*
Yes
No
Have you owned this breed before? If no, please
tell us why you have chosen this breed to be a part of your family.
*
Do you have a fenced yard?
*
Yes
No
How many hours a day will this dog be home alone?
Other Pet: How many and what types?
Other family members in the home (please list all including children and if any on the way along with ages)
*
Are you familiar with the possible health problems of this breed?
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Yes
No
Do you currently have a vet?
*
Yes
No
Have you spoken to him/her about this breed?
*
Yes
No
Are you willing to stay in contact with the breeder (names, photos, updates etc)?
*
Yes
No
How do you intend on picking up you puppy?
*
I will come to the breeder
I will meet the breeder elsewhere
Other
How did you hear about us?
*
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