Please fill out the form with as much information as possible

First Name

Last Name

Street Address

Address (cont.)

City/Town

Postal Code

Home Phone

Work Phone

Mobile Phone

E-mail

Please provide the following pet information:

Have you owned a dog before

If so what breed

Have you other pets at home

Do you wish to breed

Would you sterilize the puppy

Would you show  the dog

Would you agree to us visiting your home

Do you know a local veterinarian

Will the dog live at home with you

Are all members of your family keen to have a dog

Has anyone in your family been banned from keeping a dog

Do you feel positive you can spend enough time training the dog

Do you feel positive you can spend enough time grooming the dog

Do you feel positive you can spend enough time being with the dog

Do you feel positive you can spend enough time exercising the dog

 

               

Copyright SHEWAH ENTERPRISES 2002.
Last revised:April 13, 2009 .