Mi-De Kyi's Puppy Application
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First Name
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Last Name
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Street Address
Address Line 2
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City
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State/Province/Region
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Zip/Postal Code
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Phone Number
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Country
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Email Address
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Have you ever owned a
French Bulldog
Dachshund
Never owned one of these breeds listed
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What makes you want the following breed of dog?
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What is your plans for this dog?
Companionship
Obedience
Conformation
Agility
Earth Dog
Search and Rescue
Other
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Are you interested in any particular color or sex? If so why?
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Do you know the health problems of this breed?
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Depending on your requirements you may be put on a waiting list, are you prepared to do so?
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Please list all of your animals living with you currently.
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Is your house and yard have a fenced yard, or kennel area?
Yes
No
Planning to do so before the dog comes
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How did you find us?
Search engine
Referral
Another website
Other
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