Mirage Siberians Puppy Application
Please fill out the below questionnaire and we will get back with you as soon as we can regarding our current available dogs/puppies and our future plans. We are also happy to give you a referral to another responsible breeder.  If for some reason the below questionnaire gives you an issue just drop us a line from our contact page.  We would be happy to email you out our questionnaire.

ALL potential homes are screened for suitable placements of animals.  We may refuse placement of an animal for any reason.  All fields are required.

By submitting, you give permission for Mirage Siberians to investigate and confirm the information that you provide.  Please understand that these checks are done in order to assure a life long placement.  We want to make sure the right puppy gets in the right home, so you can enjoy your new puppy to its fullest!
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Do You Rent or Own Your Home? *
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