This form does not automatically put your e-mail address, you must give me a way to contact you back. Thank you.

First Name: Last Name:

Your Postal address: street or box number:

City:,State:Zipcode:

Your e-mail address:

Your Telephone number:

Please share any comments or other information that will help
us place an animal that fits your family needs.
If we do not have the breed of animal that you are looking for
we will try to direct you to a reliable breeder and or trainer.

Thank you for your visit.