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Puppy Information Form

Please complete this form if you are interested in being put
on a puppy list or desire additional information

Please provide the following contact information:

First name
Last name
Zip/Postal code
Home Phone

At this time, I am most interested in . . .?:

When are you interested in obtaining a puppy? :

Have you ever owned a Beardie before?

Yes No

Sex of Puppy?:

Color preference?:

Check all activities you are interested in (you will not be contractually obligated):

Family Pet         Obedience    Show Conformation                        
Therapy Dog        Agility      Herding

Please enter other family members names and ages of children:

Please describe other pets currently in your family?:

Comments or Questions: