Liberty Bengals - Application Page
www.LibertyBengals.com
Applicant Details
Please complete the form below, information must match a valid State Issued ID or Drivers License:
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Are you or your spouse a veteran of the U.S. Military?
*
Yes
No
Preferred Kitten Gender:
*
Male
Female
No preference (Male or Female)
Purchase Type:
*
Pet Use Only
Inquiring for Show/Breeding Rights (This option is only available to established pre-existing reputable programs)
Do you own or rent your home?
*
Rent
Own
Living with a relative and or friend
Student living in school housing
Other
How many estimated square feet is the expecting living area?
*
Do you have permission to have a cat residing in the home?
*
Yes, I can provide proof from my landlord that cats are accepted.
Yes, I own the home and can provide proof of ownership.
Not at this time, but can apply and provide proof before bring home.
No, I am unable to get permission or proof that cats are acceptable in my home.
What type of home will the cat be housed? (Apartment, House, Townhouse, etc.)
*
How many hours a day are you usually home? (do not include sleeping hours):
*
Do you have any animals or children in the home? If so please describe:
*
Briefly describe why you would like one of our Bengals?
*
How did you hear about us?
*
Fellow friend/family recommendation
Google Seach
TICA Website
Facebook
Instagram
Met at a cat show
Other
Our kittens are raw fed for optimal health and growth, are you willing to continue raw feeding when welcoming home?
*
What is your current occupation?
*
For example: Full time employed, Part time employed, student, etc.
Your Veterinarian’s name:
*
Veterinarian Clinic Name:
*
Veterinarian Clinic's Telephone
*
Have you owned a Bengal before?
*
Do you plan to declaw this cat/kitten?
*
Yes
No
Terms & Conditions:
*
I confirm that all information supplied above is correct and accurate. By submitting this form, I understand that my application will be reviewed and that my deposit is a holding fee and non-refundable unless the sale is cancelled only by Liberty Bengals. Deposits will be applied towards the final balance. If I (the buyer) decide to cancel for any reason my deposit may only be transferred to another kitten/cat from Liberty Bengals. I agree the information submitted is legally accurate and complete.
Signature
*
Submit
Should be Empty: