WHAT IS YOUR NAME?

YOUR ADDRESS:

WHAT IS YOUR EMAIL ADDRESS?

HOME PHONE:

CELL PHONE:

NUMBER OF ADULTS IN HOME:

NUMBER OF CHILDREN IN HOME AND AGES OF:

DO YOU WORK OUTSIDE OF YOUR HOME? YES NO>

DO YOU HAVE ANY OTHER PETS? YES NO

IS YOUR PROPERTY FENCED IN? YES NO

WHAT OTHER PETS DO YOU OWN?

ARE YOUR PETS SPAYED OR NEUTERED? YES NO

WHERE WILL YOUR DOG STAY WHEN YOU ARE AT WORK?

WHY DO YOU WANT A MINIATURE PINSCHER? My Companion ShowDog Obedience/Agility Work Breeding Purposes Service Dog

WHAT COLOR DO YOU PREFER? Red Black/Rust No Preference

WHAT SEX DO YOU PREFER? MALE FEMALE NO PREFERENCE

AS A FULL GROWN MINIATURE PINSCHER, WHAT SIZE DO YOU PREFER? 10" OR UNDER 10" to 12 1/2" Over 12 1/2"

DO YOU PREFER THE EARS TO BE CROPPED? YES NO No Preference

IN CONCLUSION, PLEASE ADD ANY ADDITIONAL INFORMATION HERE THAT YOU DESIRE WHICH MAY ASSIST ME IN DETERMINING THE TYPE OF MINIATURE PINSCHER THAT WILL BE MOST SUITABLE FOR YOU, YOUR ENVIRONMENT AND YOUR LIFESTYLE.