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2) Are you looking for a male?
Yes: No:

3) Are you looking for a female?
Yes: No:

4) Are you looking for a puppy?
Yes: No:

5) Are you looking for a trained adult?
Yes: No:

6) Is your dog going to be a family companion?
Yes: No:

7) Is the dog going to be used for sport?
Yes: No:

8) Is your dog going to be used for work?
Yes: No:

9) Do you have children ages 0-6 years at home?
Yes: No:

10) Do you have children ages 7-12 years at home?
Yes: No:

11) Do you currently have a dog at home?
Yes: No:

12) Do you have a cat at home?
Yes: No:

13) Do you have a fenced yard?
Yes: No:

14) How much time can you devote to your new dog?

How much time:

15) Do you plan to take your dog to obedience lessons?
Yes: No:

Name:

Address:

City:

State:

Phone Number:

Fax Number:

E-Mail Address:

Best Time To Call You:

Further Comments: