| I am interested
in (name of puppy): |
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| How did you find
us? (Referral from a breeder, friend, advertisement,
other website, etc.) |
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Your Name: |
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Street Address: |
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| City, State, and
Zip Code: |
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How long have you lived at this address? |
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| Home phone
number: |
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| Cell phone
number: |
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| Work phone
number: |
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| I
live in a: |
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| Do you rent or
own your home? |
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| Do you have a
fenced yard, if yes, what kind of fence? |
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| Are you planning
on moving in the near future? |
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| If you were to
move, what would you do with your Bulldog? |
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| Are you over 21
years of age? |
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| Are there
children in the house? If yes, how many and what are
their ages? |
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| List all of the
pets you have now: |
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| Number of dogs: |
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| Breed(s): |
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| Have they been
spayed or neutered? |
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| Do they live
indoors or outdoors? |
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| Have you had any
other dogs in your adult life? |
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If yes, how long did you own them and what happened to
them? |
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| I want this
Bulldog for (check all that apply): |
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| How long have
you been looking for a Bulldog? |
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| What research
have you done? |
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| Your Bulldog
will be kept mainly: |
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| How many hours
will your bulldog be left by itself in a day period? |
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| When you are
gone, where will your bulldog stay? |
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| Where will your
bulldog sleep at night? |
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| List your own
personal reasons for wanting a bulldog: |
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| Additional
comments: |
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| Your email
address: |
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| By clicking the
submit button to the right, you herby certify that the
information above is truthful and correct. |
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