Puppy Application

OUR BOYS

OUR GIRLS

  

Please fill out the following application if you are interested in placing a deposit on one of our puppies or would like to set up an appointment to visit our home. This information will be kept confidential and will not be shared or sold to any third party. It is for our personal records only and an important part of placing our puppies in approved, loving family homes.

Thank you for your time and cooperation.

First Name
Last Name
Address Line 1
City
State
Zip Code
Daytime Phone() -
Evening Phone() -
Best time to call?
E-mail Address
Type of home you live in
If renting, do you have landlord approval?
How long have you lived here?
Do you have a fenced yard?
Have you ever owned a Chihuahua before?
Do you have other pets?
Do you have children? If so, ages?
Where will the Chihuahua be kept (day and night)?
Do you plan on showing or breeding this puppy?
Do you plan on spaying or neutering the puppy?
How did you hear about us?