This completed application allows me to get to know you better, so that I am assured my puppies are going to amazing homes. This application does not qualify or disqualify you to obtain a puppy from me. It only gives me the information I need to place each puppy in the best homes possible.

Puppy Application
Name *

First
Last
Address *

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Phone Number *

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Email *
Do you own your own home? If you rent do you have permssion to have a dog? *
Please tell us a little bit about yourselves and why you have chosen to be owned by a pug *
Do you have a sex preference? *
 Male 
 Female 
 No Preference 
Do you have a color preference? *
 Fawn 
 Black 
 Apricot 
 White 
 Brindle 
 No Preference 
Are you open to a different color or sex than you specified above OR do you only wish to be contacted when I have what you requested available?
Are you looking for a Pet with limited registration OR are you looking to breed? *
 PET 
 BREEDER 
If you are a breeder please fill out the next question, if you are only looking for a Pet please skip the next question...
Please tell us about your breeding program, or if you are new to breeding tell us why you want to breed pugs
Veterinary Reference *
If this is your first pet I understand you may not have a vet reference, if so please let us know that.
Is your yard fenced in?
Do you have any children and if so please tell us the ages

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