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Date * MM / DD / YYYY
Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number * ### - ### - ####
Email
Have you taken a look at our available puppies page? If you haven't yet, please do. You will enjoy the pictures. *
Yes No
Is there a particular puppy that you are interested in? If so, which one? *
If you will need your puppy flown to you, which large airport is closest to you? *
Do you own or rent your home? *
Own Rent
If you rent, do you have your landlord's permission to have a dog? *
Yes No
Do you have a completely fenced yard for your dog? *
Yes No
If you do not have a fenced yard, how will you provide for your puppy's toilet needs? *
Do you have a suitable dog crate? *
Yes No
Do you work full time? If so, how many hours will your puppy be left alone? *
How many dogs have you owned in the past five years? *
If you do not still own the dog(s), please tell me what happened to them. Be specific please. *
Have you ever returned a pet to the breeder? *
Yes No Third Choice
If so, what were the circumstances? *
Have you ever taken a pet to the shelter? *
Yes No
Where will your puppy live? Where will your puppy sleep? Please be specific. *
Are you willing to attend obedience classes? *
Yes No
Do you have a regular vet? *
Yes No
Please provide me with his contact information. *
Name First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number ### - ### - ####
I would like a: *
Male Female
Do you plan on breeding this dog? *
Yes No
If so, why? *
By submitting this application, you acknowledge that you have read the contents of the Eaglegate Shih Tzu website and you agree to the conditions of the health guarantee. *
Yes
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