Questionnaire

Your Name:  * required Adress:  * required City  * required State:  * required Zip Code:  * required Phone:  * required E-mail address  * required   Are you active None Military Fire Fighter Police Your Home Apartment Town House Single Family Home How Much Yard space: None Under 1 Acer Over 1 Acer Do you have a Fenced Yard Yes No Do you have children? Yes No Children ages if any   Have you ever owned a dominant breed Yes No If yes, please explain Do you currently own other pets Yes No If so, please list other pets Quality of dog (pick all that apply) Pet Breed Show Pick Rescue What are your plans? None Breeding Showing Working Age Preference Puppy 8wk Puppy 8wk to 6mo Puppy 6 to 12 mo Adult No Preference Gender Preference Male Female Please submit any additional Information that may help us select a puppy that will best suit your needs         Please submit your form

 

 

 

 

 

 

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