Puppy Buyer Application Form
Sampson Labrador Retrievers
Buyer Name
*
First Name
Last Name
Spouse Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone
*
-
Area Code
Phone Number
Are you purchasing this Labrador for your family or for someone else?
If for someone else, are they aware of your intentions?
Do you have children?
If yes, what ages are they?
Describe your house
House, apartment, etc.
Describe your yard
fenced, size, etc
How did you hear about Sampson Labradors?
What Veterinarian will you use?
Phone number of Veterinarian
What are you looking for? (Check all that apply)
*
puppy
male
black
adult
female
chocolate
What are your plans for your Labrador? (Check all that apply)
*
breeding
hunting
family companion
service dog
showing
Other
Have you previously owned a Labrador?
Do you have other pets at this time?
Where will your Labrador be housed?
crate, yard, kennel, house, etc.
How many hours will your Lab be alone?
crate, yard, kennel, house, etc.
Will you neuter / spay?
crate, yard, kennel, house, etc.
Any extra information you would like to share about your family or the Labrador you are looking for?
Submit
Should be Empty: