1. First, & Last Name:
2. Address:Street:
3. City:
4. State:
5.Zip Code:
6. Phone #'s I can
reach you at!
7. EMAIL:
8. *REPEAT E-MAIL PLEASE:
9. What are you interested in?
10. Are you interested in a Male or Female, or no preference?
11. What is the time frame you are looking at getting a new puppy? Please be aware that
almost all pups are sold from our waiting list, but we try and keep the list short.
Immediately In the Next 6 months In the next year No time frame
12. Are you looking for a dog you can breed?
13. How did you hear about us?
14. If Your filling this Form out because You are Purchasing one of our puppies, or want to. Please State Which puppy You are interested in? The Name, and or ID Number:
15. If Your puppy needs to be Shipped, which is the best Shipping Date that You would prefer?:
16. What is the Major Airport You would want Your Puppy Shipped to?:
17. ADDITIONAL Information you'd like to add:
Thank you for taking the time to fill out Our application. Please check and make sure that all of your info is entered in correctly, especially your email address as that is usually how I contact you initially!
PUPPY APPLICATION
