B&HKENNELS

OWNED BY QUALITY SIBERIAN'S AND TINY CHI'S

PUPPY APPLICATION

IF YOUR INTERESTED IN A B&H PUPPY,EITHER A CHIHUAHUA OR A SIBERIAN HUSKY,PLEASE FEEL OUT THIS FORM AND CLICKTHE SUBMIT BUTTON WHEN FINISHED.

HOPEFULLY WE CAN FIT YOU WITH THE PERFECT PUPPY THAT MEETS YOUR NEEDS.

THANK YOU FOR YOUR INTEREST IN ONE OF OUR PUPPIES!

PLEASE NOTE IF ANY OF THE QUESTION'S DOESNT PERTAIN TO YOU, JUST PUT N/A IN THE SPACE PROVIDED.

*WHAT IS YOUR FULL NAME? *WHAT IS YOUR PHONE NUMBER? *what is your email address? *WHAT IS YOUR FULL ADDRESS? PLEASE INCLUDE, STREET, CITY, STATE AND ZIP CODE. *How did you hear of us? *WHICH BREED ARE YOU INTERESTED IN?
CHIHUAHUA
SIBERIAN HUSKY
*WHICH SEX OUR YOU LOOKING FOR?
MALE
FEMALE
NOT SURE
NO PREFERENCE
*IF LOOKING FOR A SIBERIAN HUSKY: IS THERE A CERTAIN COAT COLOR YOU WOULD PREFER?
BLACK/WHITE
GRAY/WHITE
RED/WHITE
AGOUTI/WHITE
SABLE/WHITE
PIEBALD
PURE WHITE
ISABELLA WHITE
BLACK/GRAY/WHITE
MOSTLY BLACK
COPPER/WHITE
LT. GOLDEN RED/WHITE
SILVER/WHITE
TAN/WHITE
NO PREFERENCE
N/A
*IF LOOKING FOR A CERTAIN EYE COLOR IN A SIBERIAN HUSKY, WHICH COLOR WOULD YOU PREFER? AGAIN PLEASE NOTE WE DONT GUARANTEE EYE COLOR.
BLUE
AMBER/GREEN
BROWN
BI-EYES (2 DIFFERENT COLORED EYE'S)
PARTI- EYE'S (ONE OR BOTH EYE'S WITH 2 COLORS IN THE SAME EYE)
EYE COLOR DOESNT MATTER
N/A
*IF INTERESTED IN A CHIHUAHUA DO YOU HAVE A SIZE PREFERENCE? IF SO PLEASE LET ME KNOW,SO I CAN BETTER SUIT YOUR NEEDS.
*IF INTERESTED IN A CHIHUAHUA DO YOU HAVE A PREFERENCE ON COAT COLOR?
PURE WHITE
FAWN
CREAM
RED
BLACK
BLACK TRI
BLUE
BRINDLE
SABLE
CHOCOLATE
GOLD
SILVER
MERLE
NO PREFERENCE
N/A
*DO YOU HAVE ANY PETS NOW?
YES
NO
*IF SO HOW MANY AND WHAT KIND OF PETS DO YOU HAVE?
*IS EVERYONE IN YOUR FAMILY WANTING TO ADD A NEW PUPPY TO THE FAMILY?
YES
NO
*HAVE YOU EVER TURNED A ANIMAL OVER TO THE SHELTER FOR ANY REASON? IF SO PLEASE EXPLAIN.
*HAVE YOU DONE RESEARCH ON THIS PATICULIAR BREED?
YES
NO
*IF YOU HAVENT DONE ANY RESEARCH ON THE BREED YOUR INTERESTED IN, WHAT MAKES YOU FEEL LIKE YOU COULD GIVE ONE OF OUR PUPPIES THE BEST HOME POSSIBLE?
*WHAT TYPE OF RESEARCH HAVE YOU DONE ON YOUR BREED OF CHOICE?
CURRENTLY OWN SAME BREED
PREVIOUSLY OWNED THE SAME BREED
FRIEND/RELATIVE CUREENTLY OWNS THE SAME BREED
FRIEND/RELATIVE PREVIOUSLY OWNED THE SAME BREED
READ BOOK'S ON THE BREED
LOOKED UP INFORMATION ON THE INTERNET
DOG SHOWS
OTHER DOG EVENTS
TALKED TO OTHER BREEDER/OWNERS OF THE SAME BREED
THE BREED/PARENT CLUB
OTHER: IF CHECK OTHER PLEASE EXPLAIN YOUR ANSWER AT THE BOTTOM OF THE APPLICATION.
*WHERE WILL THIS PUPPY BE HOUSED DURING THE DAY AND DURING THE NIGHT?
*DO YOU UNDERSTAND THE AMOUNT OF CARE A NEW PUPPY WILL NEED?
YES
NO
*WHAT ARE YOU LOOKING FOR IN YOUR PUPPY?
A PET/COMPANION
A BREED PROSPECT
CONFORMATION
AGILITY
UNSURE
*DO YOU HAVE ANY SMALL CHILDREN?
YES
NO
*DO YOU LIVE IN A HOUSE OR AN APARTMENT
HOUSE
APT.
*DO YOU RENT OR OWN YOUR HOME?
RENT
OWN
*if you rent your home, may we contact your landlord?
yes
no
n/a
*DO YOU HAVE AN ADEQUATE SIZE YARD FOR THE PUPPY TO PLAY IN?
YES
NO
*DO YOU HAVE A FENCED IN YARD OR FENCED IN AREA FOR THE PUPPY TO PLAY IN?
YES
NO
*HAVE YOU READ MY CONTRACT AND AGREE WITH EVERYTHING ON IT?
YES
NO
*IF YOU DONT AGREE WITH SOMETHING IN MY CONCRACT, PLEASE EXPLAIN:
*WILL THE PUPPY NEED TO BE SHIPPED?
YES
NO
*IF YOU WOULD LIKE TO ADD ANYTHING ELSE ABOUT YOUR FAMILY,PETS,ECT.,OR HAVE ANY QUESTIONS FOR ME PLEASE DO SO IN THIS SPACE PROVIDED.

B&HKENNELS

OWNED BY QUALITY SIBERIAN'S AND TINY CHI'S

PUPPY APPLICATION

QUALITY SIBERIAN'S AND CHIHUAHUA'S