We pay particular attention to the personalities and traits of all our dogs and their puppies. To better enable us to assist you in selecting the puppy/dog that is best suited for your individual lifestyle, please complete the following questionnaire.

Today's date::

What size are you seeking?(Toy, Mini, Standard):

Will you breed this dog?:

Do you plan to show this dog?:

Have you owned this breed before?:

Will you consider having this dog shipped to you?:

How far are you willing to travel to pick up the dog?:

I live in a: house, apt., duplex, farm, etc.

Do you have a fenced yard?:

Do you have children?:

Number of children and ages::

Do you have other pets/animals?:

Number and type of other pets/animals?:

Number of hours each day that your dog will spend alone?:

Will this dog live inside or outside?:

First Name:

Last Name:

Address Street 1:

Address Street 2:

City:

Zip Code:

(5 digits)

State:

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Daytime Phone:

Evening Phone:

Email:

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