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Piper's Puppy Placement Application

www.piperspoodles.com

*required fields

Just complete this form. Click on Submit when ready to send.

 

*Your name:
*Your address:
*Your city/state:
*Your phone:
Your alternate phone:
*Email address:
Children? & ages?

 

Do you own a house,apartment or condo?

house
condo
apartment
other

 

Have you owned or do you own a poodle?

Yes
No

 

Have you ever bred any type of animal?

Yes
No

 

Are you looking for a companion puppy or show prospect?

companion
show

 

Are you willing to give a life long commitment to giving this new addition not only love but the best care that he/she will require as to maintaining a good health program through a licensed vet, a nutritionally balance food diet, exercise, and grooming when required?

Yes
No

 

Tell us a little about yourself/family.

 

What are you looking for? sex,color & size

 

When you hit sumbit you will be directed to an advertising page. Pay no attention to this unless you want to. This is a annoying I know, but until I find another form maker we have to put up with it. Please feel free to email me with any suggestions on how to get past this =:)