The Country Griffon Bruxellois Club of NSW Inc

The Country Griffon Bruxellois Club of NSW Inc

BUYER REGISTER FORM
Are you currently a Financial Member of The Country Griffon Bruxellois Club of NSW for this Financial Year?*

YesNo, I need to join and will do so via this linkI am not sure, I need to contact the Club Secretary on cgbcnsw@gmail.com
Declaration*

I am interested in buying a Griffon Bruxellois and I would like to register my interest to obtain a dog from an ethical breeder.I am aware that this breed is not easy to breed and that there may be a waiting time before a Griffon Bruxellois becomes available to me.As the waiting time could be 12 months or more I will keep the club updated regarding my interest in the breed and any changes to my details.
Date*

DayMonthYear
Date
Name*

First NameLast Name
Email*
example@example.com
Mobile Number*

Country CodePhone Number
Home Address*

Street Address

SuburbState

Post CodeCountry
What type of Griffon Bruxellois are you interested in?

Please keep in mind that some coats and colours are harder to get and rarer than others so there may be a longer wait if you require a specific coat and colour.
Coat Type*

RoughSmoothNo Preference
Coat Colour*

RedBlackBlack and Tan
Gender*

MaleFemaleNo Preference
Age*

PuppyOlder DogNo Preference
What activities do you plan to do with your Griffon Bruxellois?*

Have as a pet onlyDog showsCompete in dog sportsJoin a recognised Dog Club
When are you hoping to purchase a Griffon Bruxellois?*

As soon as possibleOther, please specify below
Please tell us about when you are hoping to purchase a Griffon Bruxellois*
Do you own a Griffon Bruxellois or have you owned one in the past?*

YesNo
If you answered Yes to the previous question, where did you acquire your Griffon Bruxellois? Please tell us a little about your Griffon*
Do you own any other dogs who will be living with your Griffon Bruxellois? If so tell us a little about them -If so tell us a little about them breed age etc.*
How many people live with you and how old are they?*
Do you live in an apartment or a house with a yard? Please describe briefly*
Will the Griffon Bruxellois be alone during the day If so, for how long?*
Why did you decide you would like to purchase a Griffon Bruxellois?*
I give permission for the Club Committee to pass on contact details provided on this form to Approved Club Breeders seeking to home their dogs.*

YesNo
You will receive a copy of your responses to the email address you supplied. Please keep it for your records.
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