STEYNMERE - PUPPY FORM

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PUPPY ENQUIRY FORM

* Your Name

*E-Mail Address
(This must be a valid address to send this email to Steynmere)

*Telephone Number

*Where are you Located?

( * indicates response required or form will not be sent! )

********

Additional Information

Are you married, permanent relationship or single?
Married Single
Long Term Relationship

Do you have children
Yes No

If Yes, what are their ages (Check all that apply)
Baby 1 - 3 3 - 5 5 - 8 8 - 12 Teenagers

Do you have any other pets? How many and what type?

I currently reside in?
A House A Unit/Flat A Home with acreage

I currently am...?
The home owner. Renting (Have permission for a dog.) Renting (Will need permission)

Will you be spey/neutering your Boxer?
Yes. No

Do you have a fenced yard? (Please explain fully!)

Where will your dog live?
House Backyard Dog run

When your dog is home alone how will it be confined?
A Crate Loose in House Loose in Yard In dog run

How long will this dog be left alone regularly?
(Please explain as best you can!)

Have you ever had a Boxer Before?
Own one now
Once owned a Boxer
Babysat a Boxer & fell in love with the breed
Friend has a Boxer
Family member(s) has a Boxer
Never owned one but have always liked them

What are you looking for?
Male Female Either Mixed Pair
Matched Pair (Not recommended!)

Any particular colour?
Fawn Brindle Flashy Fawn Flashy Brindle
Colour is not important

I am looking for ...
puppy - 8 weeks to 3 months puppy - 3 to 6 months
juvenile - older than 6 months adult - ex-show dog

When do you want to get a puppy?
Looking now In 1-2 months In 3-6 months
Just inquiring

What type of activities would you like to do with your Boxer? (check all that apply)
Family Pet, Companion,
Conformation Showing,
Obedience and/or Performance Events,
Therapy Dog,
Breeding

Would you consider taking a rescue dog?
yes! no, thank you.

Anything else you would like me to know about you?

Would you like me to forward your request to other Breeders?
Yes No

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