Please enable JavaScript in your browser to complete this form.Breeder reservers the right to refund a Buyer's deposit/payments and not sell a puppy if the Buyer feels, at Buyer's sole discretion, the environment will not be a good fit for the Buyer's puppies at any time before the puppy goes home.Name *FirstLastPhone *Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSpouse/Significant Other's NameFirstLastHow Many Children? *Age of ChildrenHow did your hear about us? *InstagramGoogleFacebookTwitterFriend/Family Member ReferralOther Search EngineOther ReferralOtherName of ReferrerFirstLastIf a friend or family member referred you please list his/her name.Is this your first pet? *YesNoDo you have pets at home? *YesNoPlease describe the pets at home. *Does anyone in you family have allergies? If so, please describe. *What type of adult temperament do you prefer? *(Please note that puppies are seldom calm.)Describe your lifestyle. *Do you have a preference of male or female? *MaleFemaleEitherWill you accept the other gender if your preferred gender is not available? *YesNoWhat size are you interested in? *MiniMini/MediumStandardDo you have a preference of color?ApricotBlackChocolateCremeRedTri ColorOtherDo you have a preference on coat type?CurlyWavySmoothWhat timeframe are you looking to add a puppy? *Is there a particular litter and/or pup that you are interested in?Please be as specific as possible.Please list your vet reference including telephone number *Do you understand the time, expense, and commitment involved in adding a puppy to the family? *YesNoDo you agree to the following? *Feed high quality foodRegular vet visits and appropriate shotsDeworming and heart worm protectionNever allow your puppy to be an outside only dogAgree to take your puppy through at least minimum of obedience trainingDo you have any specific concerns or questions you would like us to address, or comments you would like to add?May we contact you via text message? *YesNoNameSubmit Share1PinTweet1 Shares
