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Aussie Puppy Application
The Puppy form is very important to us it is
required
if you are interested in a puppy.
Thank you.
First Name
*
Home Phone
Email Address
Address
Web site
What Color
*
No Preference
Blue Merle
Red Merle
Black Tri
Black Bi
Red Tri
Red Bi
Eye color
No Preference
Blue
Brown
Marbled
2 different eyes
What age dog are you looking for?
Puppy
Young Adult
Adult
What Sex?
*
No Preference
Male
Female
Do you
Own
Rent
Minor with parents
Have children?
You have a fenced in yard?
What would you like to do with your pup? Pet, Show, Conf., Agility, Therapy..etc.
How long are you willing to wait for a puppy?
*
1 month
2-5 months
Over 5 months
1 year
I have read puppy guarantee/prices?
Put me on a puppy mailing list.
This box is for anything you would like to tell us.
How did you find out about us?
Today's Date
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