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Puppy Application
Thank you ... All applicants will be contacted once your application is approved and there is a puppy/dog available.
Once the application is approved, we will notify the applicant and the $1000 USD reservation fee is due to reserve your puppy/dog.
The reservation fee is due within 24 hours after approval to reserve your puppy/dog for your family.
If you would like to pre-pay the reservation fee for a future planned litter, please state so on the application. For updates, please email shirley@danshisbullies.com or text/call 954-232-4176
Thank you,
Shirley
DanShi's Bullies
Name
*
Prefix
First
Last
Suffix
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
Czech Republic
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
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Serbia
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Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
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Bangladesh
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East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
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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
Primary Phone
*
Confirm
Email
*
Confirm
Breed of Interest
*
-- Select --
English Bulldog
French Bulldog
Gender of interest
*
-- Select --
Male
Female
Any
Which best describes you? Please check all that applies.
*
I'm a breeder
Looking for a Companion pet only
Already a dog owner
New Puppy Owner
Looking for Full AKC registration
What are you looking for in a puppy/dog? Check all that applies.
*
Active
Breeding Quality
Calm
Color
Confidence
Eye Color
Markings
Other
Show Quality
Size/Weight
Temperament
If you selected other, please explain:
American Kennel Club Registration Options"
*
Please select
AKC Full registration/breeding rights & or showing rights
AKC Limited Registration /Spay or neuter contract
What age range are you looking for?
*
Are looking for a show dog?
Please select
Yes
No
Do you plan to breed your dog?
*
-- Select Course --
Yes
No
Will your puppy be desexed (Spayed/Neutered)?
*
Please select
Yes
No
Is there a specific color you're looking for?
*
Type Color Preference
How soon are you looking in adding your newest family member?
*
Do you have a veterinarian?
*
If so please list his full name, address, and phone number.
Do you want to pay your reservation fee for a puppy now, to reserve your place for the next available puppy?
*
Please select
Yes
No
This ensures your pick from the litter once puppies are born and breeder(s) have chosen their puppy.
Do you plan on reselling this puppy/dog? ie: broker, puppy store, friend
*
Please select
Yes
No
Do you plan to take your puppy/dog training school?
Please select
Yes
No
Did you research the breed & understand the Health, Care & Recommendations for the breed?
*
Please select
Yes
No
Will your puppy sleep & live inside your home & socialized with your family?
*
Please select
Yes
No
Do you have permission to own and or have a dog live with you at this residendce?
*
Please select
Yes
No
Do you or anyone in your immediate family suffer from allergies to dogs?
*
Please select
Yes
No
Do any of your children have a fear of dogs?
*
Please select
Yes
No
How long will your puppy/dog be left alone during the day?
Are you aware of the costs & maintenance associated with this breed?
*
Please select
Yes
No
Do you intend to enroll your puppy with pet insurance?
Please select
Yes
No
Do you have any health conditions/disability that may limit your ability to exercise your puppy/dog for up to 1 hour per day?
*
please explain
Tell us anything you feel maybe important about yourself?
How did you here about us?
*
Any questions or comments?
Please Explain
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