1. Name-

2. Address-

3. City-

4. State-

5. Zip Code-

6. Phone-

7. Cell Phone-

8. Your email address-

9. Do you have children living at home?                                                         

10. If yes, what are their ages?

11. Are you a college student? 

12. If you purchase a puppy from me, would this be your first pet?

13. Do you have any other pets?

14. If yes, what are they?

15. Do you understand that my puppies are NOT to be bought to re-sale them?

15a. Do you agree that you will NOT buy my puppy to re-sale it?

16. Do you want a rough or smooth coat?

17. Do you want a male or a female?

18. What is the reference name (it's located above the description of the puppy) of the puppy you are interested in?

19. Is everyone in you home in agreement about getting this puppy?

20. Are you prepared to care for this dog for 10-18 years?

21. If you rent your home, does your lease include pets?

22. Who will be the primary caretaker of the puppy?

23. Do you plan to take to puppy to obedience class?

24. How many hours a day will the puppy be alone?

25. Is there any other purpose, other than for a companion and pet, you are wanting this dog for?

26. Have you ever given up a dog to a shelter or a rescue?

27. Have you ever been charged with animal abuse or neglect?

28. Have you lost a dog to Parvo within the past 12 months?

29. Do you have a fenced in yard?

30. If not, how do you plan on exercising the dog and protecting it?

31. Does the puppy need to be shipped?

32. If yes, to which airport:

1st Choice-

2nd Choice-

3rd Choice-

33.  Do you understand that I only ship on Tues. and Fri.?

34. Do you understand that if  you put a deposit down on a puppy that it guarantees that puppy will be saved for you and is NON-REFUNDABLE?

35. Did you read and understand my policies on my "Important Puppy Information" page?

36. Do you agree to spay/neuter your puppy?

37. Do you understand that the puppy MUST be spayed/neutered by the age of 6 months in order for the guarantee to be in effect and the transaction to be complete and that you will not receive your dogs registration papers until I receive proof from your vet that the procedure was done in the allotted time allowed?

38. Do you understand that all our puppies are registered with APRI and/or UABR?

39. How did you hear about us?  (Please be specific)

40. Were you able to view my website and see all the text and pictures correctly? 

41. If not, what was the problem?