| NAME: | |
| ADDRESS: | |
| EMAIL: | |
| Phone (include area code) : | |
| Looking for Male or Female?: | |
| What color do you prefer?: | |
| Will pup be spayed or Neutered?: | |
| Will Pup reside inside your home?: | |
| Do you have children? : | |
| A fenced yard or invisible fence?: | |
| Are you a first time dog owner?: | |
| When are you wanting a pup?: | |
| |
