WAITING LIST FORM
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Puppy name/color/ num. (placing hold on specific puppy)
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BREED
Please Select
AKC CARDIGAN
AKC PEMBROKE
AUGGIE
AKC REGISTRATION
Please Select
LIMITED
FULL
NON-REGISTERED
COAT COLOR
Please Select
RED AND WHITE
BLACK TRI
BRINDLE
BLACK AND WHITE BRINDLE POINT
BLACK AND WHITE TAN POINT
MERLE
SABLE
CREAM
LIVER
BLUIE
SEX
Please Select
FEMALE
MALE
COAT LENGTH
Please Select
SHORT HAIR
GLAMOUR
FLUFFY
HAVE YOU FULLY RESEARCHED THIS SPECIFIC BREED?
Please Select
YES
NO
ARE YOU FULLY PREPARED TO PROVIDE AN ADEQUATE HOME AND CARE FOR THIS PET?
Please Select
YES
NO
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Do you understand that all forms emailed are legal binding contracts(if applicable) on PET HOMES
Please Select
YES
NO
Submit
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