Puppy Application

The Puppy application is currently not working....I don't know why....but  I'm working on it!!! If interested in a pup...please just email or call me while I work on this! Thanks!

You must be approved to purchase a puppy from us. If you are interested in a pup, please provide the information below.

You will hear from us soon.

Name:

Address:

City: State: Zip Code:

Day Phone: Eve Phone:

Best Time To Contact You:

Email:

About your Family:

How many people in household:

Any Children?

If yes, ages:

Who will be primary puppy caregiver:

Do you own or rent your home?

Is your yard fenced?

Do you have a Veterinarian?

If yes, please provide name:

May we contact Veterinary Hospital as a reference?

Please note, you may want to contact your Veterinary office after filling out this form if you wish to make them a reference. Due to privacy laws, they may not be willing to give you a reference without your OK.

Any other animals in household?

Dogs: Number: Are they spayed/neutered?

Cats: Number: Are they spayed/neutered?

Have you had pets in the past?

If yes, what became of them?

Have you researched the Pug Breed?

Your Puppy Preference would be?

Puppy Gender:

Color:

Puppy will be:

Please list which litter you are interested in:

In the event you would have to ever give up your puppy, even 10 years down the road, what would you do?

I have read and understand your "Road Rules"Yes  No

We would like to know how you found us!

Thank you! You will be hearing from us soon!

 

Please review our sales and deposit contract.

Once you have been approved you may place a deposit for your puppy using paypal if like.

 

If you have any questions, please email

or give us a call

(716) 695-3694

 


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Copyright © 2008 by Kelzpugz. All rights reserved.
 Revised: 11/04/08 11:45:13 -0700.

 

KELZPUGZ AKC PUG BREEDER WESTERN NEW YORK