First Name:
Last Name:
Spouse Name:
Address:
Address 2:
City:
State:
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Zip code:
-
Country:
Please Select One:
United States
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Virgin Islands, US
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Telephone Number:
Cell Number:
Alternate Number:
International Number:
International Telephone Code:
Email Address:
Your Occupation:
Spouse Occupation:
Have you ever euthanized a dog?
Yes /
No
If so, why?
Do you won your own
home:
Yes /
No
Do you have a fence:
Yes
/ No
Do you
currently own any dogs:
Yes /
No
What breed
is your current dog/s:
What gender
is your current dog/s?
What
age are your current dog/s:
Do you
currently have any pets?
Yes
/ No (other
then a dog)
If Yes,
what kind:
Are there any children in at home?
Yes
/
No
(Our puppies are excellent with children)
If
so, what are their ages?
Someone home during the day?
Yes
/
No
What is your main interest in purchasing a German
Shepherd puppy? (check all that apply)
Family
Companion
Conformation
showing
Obedience,
Agility
Breeding
Schutzhund
(Protection)
Tracking
What sex puppy do you prefer?
Male
Female
No
Preference
What type of personality and character are you looking for in your new
puppy/dog?
Will you spay/neuter this dog?
Yes /
No /
I
am not sure
Are we shipping this
puppy to you?
Yes /
No
If Yes,
Please list two "major" airports that you would like your new puppy to fly
into.