Your Contact Details:

Name
Title
Organization
Work Phone
Home Phone
FAX
E-mail

Children in the Family

Number of Children under 5 Yrs Number of Children 6 to 10 years Number of Teenage Children No Children

Describe disabled or challenged family members

Allergies

None    Severe  Mild    

Your Needs in Temperament

Family Companion Therapy Work Assistance Work Agility For Disabled Family Member

Your Size Preferences

Miniature,Cocker Spaniel Size or Smaller    Medium - between Cocker and Labrador Size   

Standard - 21 inches at Shoulder or Higher  Not important                             

Preferred Colors - Multiple will shorten wait time

Black Silver Gold Creams Chocolate or Cafe Apricot Red Caramel Parti Coloured

Preferred Coat Type

Wool - needs clipping 2 or 3 times per year
Fleece - needs trimming 2 times per year

How long will your puppy be alone daily?

Four Hours Daily More Than Four Hours Daily

Will you Crate Your New Puppy?

Yes No Not Sure Yet

What Will You Feed Your New Dog?

Why?

Are You A First Time Dog Owner?

Yes No

Who Will Train Your New Puppy?

Yourself Visiting Trainer Dog Obedience Group Not Sure Yet

If Yourself, Have You Trained a Dog Before?

Yes No

Where Will Your Puppy Sleep?

Preferred Timeframe to Receive Your Puppy

Within Six Months     Six Months to a Year  Longer than a Year    

Delivery Details

O/S toNearest International Airport
Australia Pick Up in Person            
Australia Fly                                      
Australia Puppy Road Taxi