Pomeranian Puppy Waiting List
Please Fill Out This Forum with Everything You Are Looking for in Your New Puppy!
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do You Rent or Own?
*
Rent
Own
Live with Parents
Male OR Female
*
Male
Female
Either
Pet OR Breeder
*
Pet
Breeder
Color Pattern
*
Solid
Merle
Parti
Tri
Color & Tan
Other
Color
*
Blue
Lavendar
Black
Chocoolate
Sable/Cream or Red
Other
Have you owned a Pomeranian Before?
*
Yes Now
Just Passed Away
No
While I was a kid
Have You Ever Owned a Pomeranian Before?
How Did You Hear About Us?
Who Will The Puppy be for?
*
If You Have To Move What Will You Do With Your Puppy?
*
Do you have kids? Have they been around Dogs?
*
Please Tell Me a Little About Yourself, Home, Schedule, and Plans for Puppy!
*
Are You Prepared for Grooming and Care Needs of a Pomeranian?
*
Do You Need a Flight Nanny?
*
Yes
No
We will travel for Puppy
Are You Okay With Sending Me Updates And Pictures of the Puppy When Asked?
*
Please Provide the Name and Address of Your Veterinarian, we may contact them for a reference: (Name, Telephone, Address)
*
Do You Agree Should You Ever Have to Re-home this Dog/Puppy it is to be Returned to Me, Even if its 10 Years Down the Road?
*
Have you read My Country Oak Poms Contract/ Guarentee?
If You Want to Breed/Show Please Elaborate on Your Breeding Program and Experience ( Also list website/Facebook page)
*
Would you like to be notified through our Newsletter?
*
Yes
No
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