Puppy Form

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    CONTACT INFORMATION

    Your Name (required)

    Your Street (required)

    Province/State:

    Home Phone:

    Best Time to Call:

    Your Email (required)

    City:

    Postal/Zip Code:

    Work Phone:

    PUPPY/DOG PREFERENCES

    Gender:

    Desired Purchase Timeframe:

    GENERAL QUESTIONS

    Will this be your family's first dog?:

    Does anyone in your family suffer from allergies?:

    Do you have a fenced yard?:

    Are you aware of how much time a puppy will take?:

    Are you committed to caring for this puppy for it's lifetime?:

    Will you be attending obedience class with your puppy?:

    Do you have a veterinarian picked out?:

    Other Pertinent Information:

    NOTES:

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