SHIH TZU
PUPPY APPLICATION
When it comes to placing our puppies with new families, it is very important to us that potential new owners have the knowledge, ability, facilities, time and resources to provide an excelent home where each puppy will receive the love, care and attention it needs in order to live a long, happy and healthy life. To assist us in choosing suitable buyers for our puppies, we ask that you fill in the following application form. We greatly appreciate your cooperation in providing this information to us, and hope that you understand that we have the best interest of both our puppies and our potential buyers at heart in requesting it.
NAME:
ADDRESS:
CITY: 
STATE:
ZIP:
PHONE #:
EMAIL: 
IF WE HAVE PUPPIES AVAILABLE AND YOU ARE INTERESTED IN THEM, WHICH ONE?
If we currently do not have available puppies or if they are not what you are looking for, please fill in the question below.
MALE
FEMALE
EITHER
What color are you looking for?
Are you planning to show this puppy?                     YES                                    NO

Are you planning to breed this puppy?                     YES                                   NO
This questionnaire is not intended to intimidate our potential buyers- it helps us to place the appropriate puppy with the appropriate owner, and to educate the owner as much as possible before they make their purchase. All information will be kept in the strictest of confidence.

Have you owned a SHIH TZU BEFORE?                     YES                                     NO        
If no, why did you choose this breed?
Are you familiar with the possible health issues?     YES                                       NO
Describe your home setting?
If you rent, do you have your landlord's permission to own a SHIH TZU?                   YES                       NO
Do you have a fenced yard?                    YES                    NO                
Are there other family members in the home? (if children, please list ages)
Do you currently have a vet?             YES                      NO              
Are you willing to stay in contact with the breeder?                       YES                             NO
How do you plan to get your puppy?
 will pick-up my puppy from your house
I will meet you half way
I will fly to Colorado and bring my puppy home with me on the plane
am within driving distance and would like my puppy delivered
How did you hear about us?

Google
Search Engine
Another website
Other
Are there any questions that you would like us to answer?
Thank you for your interest in our puppies and for your patience in filling out this application. We look forward to talking to you and will be contacting you soon via email.
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