American Hairless Terrier UK
dogs for allergy sufferers from
Naked Heart Kennel
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PUPPIES
Title
Forename
Surname
E-mail
Home Telephone Number
Mobile Telephone
How would you prefer to be contacted
email
telephone
Address
Post Code
Number of adults in your home:
Number of children in your home:
How old are the children:
Type of home (house, flat, etc):
Do you own your home?
Yes
No
Do you have a fenced garden for the dog to be exercised?:
Yes
No
Are there family members in the home allergic to animals?
Yes
No
Is there a family member at home during the day?
Yes
No
How many hours during the day will the puppy be at home alone?
Where will the puppy spend the day when a family member is not home?
Do you have any other pets (dogs, cats, etc) in your home at this time?
Yes
No
If Yes, please specify
What sex are you interested in buying?
Dog Puppy
Bitch Puppy
Either
Are you thinking of breeding your dog?
Yes
No
Are you on any other waiting lists for puppies?
Yes
No
Are there any additional comments you would like to make or questions you would like to ask?
How did you find us?
Submitting this questionnaire does not obligate either party in the sale of or the purchase of a puppy.
Information submitted will not be used for any purpose other than your interest in purchasing an AHT puppy.
AmericanHairlessTerrier.co.uk