Application for Prospective Puppy Buyers

Name*FirstLast

Address*Street AddressAddress Line 2CityState / Province / RegionPostal / Zip Code

Country

Email*

Phone (Cell)*

Phone (Home)*

Phone (Work)*

Does everyone in your household want a new puppy? (Check one):

YES

Not Sure

What type of Malvado Welsh Terrier are you interested in? (Check all that Apply):

PuppyOlder Puppy/Young DogMature DogRetired Champion (Ocassionally Available)

Have you ever owned dogs before? (Check one):

Yes (If yes, list breeds below)No, I have never owned dogs before

If YES (above), List Breeds

Do you still own them? If not, why? (Death, gave away, etc.)

Do you have other pets? If so, list type, ages, intact or not, etc.

How much time do you spend away from the house on an average daily basis?

What is your plan for keeping your puppy while you are not at home, when you are at work, etc.?

Do you have children?

YES

If you DO have children, list ages:

What activites would you like to involve your dog in?

Other Activites

What kind of outside containment do you intend to provide for your dog's safety?

Do you intend to crate train your new puppy? (Check one):

YES

Not Sure

Are you willing to attend basic obedience classes? (Check one):

YESNO

Declaration 1: Companion puppies are sold on an AKC Limited Registration and Spray/Neuter contract. Do you understand and agree with this? (Read about AKC Limited Registration at: www.akc.org/reg/limitedreg.cfm

YESNO

Declaration 2: Are you willing to return the dog to Malvado Welsh Terriers Kennels (for re-homing), if for any reason you are unable to continue to care for it according to the standards outlined in our Placement Policy? Read Malvado Welsh Terriers Placement Policy at: www.malvadowelshterriers.com/placement.htm (Check one):

YESNO

Additional Comments or to clarify order here:

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