Application for Prospective Puppy Buyer

Name
First Name:
Last Name:
Address
Street:
City:
State/Province:
Zip/Postal Code:
Home Phone: area code: number:
Work Phone: area code: number:
Cell Phone: area code: number:
Email:
Other Details
Reason for
wanting a
Puppy:
  Male  or Female 
Why?
  Color Preference:
Red  Black 
  Companion   Show   Obedience   Other
Why?
  Have you owned Dobermans before? Yes  No
  Still own? Yes  No
If not, what happened to the Doberman?
Current Pets?
  Male  Female
  spayed/neutered Yes  No
How far will you travel to get your new puppy?
Time Frame looking for a new puppy?
Family members & ages:
How much time will the puppy be alone?
  Is your yard fenced? Yes  No
Height of existing fence?
Type of fence?
If no fence:
 will you provide one
before your puppy comes home?

Yes  No [No fence, no puppy]

Reference
Current or prior Veterinarian:
Address:
Phone: area code: number:
Second Reference:
Address:
Phone: area code: number:
All prospective puppy buyers must have a home visit by myself or an associate in their area.

 

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Samuel Grant, DVM  •  5194 Beechmont Ave  •  Cincinnati, OH 45230
(513) 232-6901  •  info@kaywooddobes.com

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