Name *
E-mail Address: *
Mailing Address
Phone *
Occupation
Do you prefer a male or female *
List your color preference in order
Is it O.K. with you to wait longer for these exact specifications
Do you have any pets now ? If so, what kind
Have you had a dog previously *
What breed of dog
Have you ever taken a dog obedience class? Do you plan to
Is this puppy a gift for someone *
Will the puppy have a midday break and or playtime
Do you have fenced property *
Does anyone in the family have allergies *
If so is medication required *
Do you have children? List their ages *
What are the best times to contact you, by phone *

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