Puppy Application

Where we make your dreams come true,
one puppy at a time.
Teri and Steve Campbell
email us at pickmepuppies@yahoo.com
641-895-0322

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Puppy Application
Please take the time to fill out this application. This does not qualify or disqualify you from adopting one of my babies, it helps me find the perfect home for my puppies.
Application is required.

Name:
Email Address:
Mailing Address:
City:
State:
Zip Code:
Phone:
Why do you want a puppy?:
What breed are you interested in?:
Are you interested in male or female?:
How much time do you have to spend with a puppy each day?:
Do you have other pets in the home?:
Do you have children in the home? If yes what are the ages?
Do you own or rent your home?:
If you rent your home, are you allowed to have pets?:
Have you researched the particular breed that you are interested in ? If yes, what are some of the health issues you have discoved about this breed?:
Are you looking for a puppy as a pet, for show, or for breeding?:
Do you have a fenced in yard ?:
Have you ever rehomed or gave up a pet to the, SPCA ?:
Please list veterinarian name, address, phone number .:
Can you please tell me what web site you found me on ?:
Comments.: