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Puppy Application
Thank you for applying for one of our sweet Puppies!
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* Indicates required question
Name (First and Last)
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
City and State of Residence
*
Your answer
Your Age
*
Your answer
Martial Status
*
Married
Single
Occupation of Adults
*
Your answer
Children Living at Home (Ages of Children)
*
Your answer
What type of residence do you live in?
*
House
Apartment
Duplex
Other:
Do you live in...?
*
City
Suburbs
Rural
Other:
Is this your first Berner?
*
Yes
No
Required
Do you have any other dogs? (Breed and Age)
*
Your answer
Preferred Puppy Gender
*
Male
Female
Undecided
How did you hear about us?
Your answer
Any Comments or Questions for Us?
Your answer
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