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*Name:
*Email
Address:
*Primary Phone Number:
Other Phone Number:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
How did you hear about us?
Notes: Fields marked with an
asterisk (*) are required.
1. What litter(s) are you interested in?
1st Choice Litter:
2nd Choice Litter:
(We ask you to select two litters, in case we already have a realistic number
of reservations on one.)
2. Preferred Gender of Puppy:
3. Preferred Coat Type:
4. What are you looking for in a puppy?
5. Please tell us about the animals you share(d) your life with
(names, breeds, etc.)
6. Do the dogs in your household
get along with other dogs/puppies?
7. How many
people reside in your household? (number of adults; number of children and their
ages)
8.
Does everyone like puppies and big dogs?
9. Please tell us about your home.
10. Do you own or rent?
11. How long have you resided there?
12. Do you have a fenced yard?
13. Do you work? If so, how many hours
will your puppy be alone during the day/night?
14.
Please provide your Veterinarian's Name, Address and Telephone Number
We intend to speak with your vet, in order to verify upkeep and care of your pet(s).
15. Is there anything else you wish to
tell us?
Please email pictures of:
* Yourself and your family
* Your pets, and
* Your home and yard
to us at
Ocean State Shilohs.
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Note:
If you prefer, click HERE to download a
PDF version of our Puppy Application Form. | | 