Hystyle Havanese
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Puppy Questionnaire
Contact Information

If you are interested in adopting one of our puppies, please fill out this questionnaire and send to my email address by clicking the "Submit" button at the bottom of this page.

These questions are being asked so that we can determine the best placement of each puppy with it's new owner. There are no right or wrong answers. We feel that each situation is unique. Feel free to contact us if you have any questions.
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
1. Tell us about you and your family,ie: married, single, children ages, ect.:
2. Do you live in a House, Apartment, or Other? (please explain if Other):
3. If you Rent, please provide landlord contact information and if landlord approves of having a dog.:
4. Please list All other animals in the household, ages, sex, breed.:
5. Do you have a swimming pool? If so, is it fenced?:
6. If not fenced, how will you make sure the puppy is safe?:
7. Do you have a fenced back yard with a locking gate? Please describe.:
8. Who will be responsible for the puppy?:
9. On average, how long will the puppy be left alone?:
10. Where will the puppy be kept during the day?:
11. Where will the puppy be kept at night?:
12. Are you wanting a puppy as a companion, to show, for breeding?:
13. Which sex (male or female) do you prefer and why?:
14. All companion puppies will be sold on a spay/neuter contract. Do you agree to this?
 Yes             No
15. What is your  time frame for getting a puppy?:
16. What is the name, address, and phone number of your Veterinarian? (If you don't have one, just write "none"):
17. How did you learn about 'Hystyle Havanese'?:
Do you have any Questions for us?:


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