Your name:
Address:
Phone number:
Mobil:
Your email address:
Which puppy/dog are you interested in?
What made you decide to purchase a Chinese Crested?
What interests you about the breed.
Have you ever owned or currently have a dog.
Yes
No
If yes, please tell us about your dog(s) including the type of breed,sex, and length owned.
Do you currently have any other pets.
Yes
No
If so, please tell us about them.
Do you have any children.
Yes
No
If so, how many and what are their ages
Living Arrangements:
Homeowner Home/Ranch/Farming
Condo Rent
If you rent, may we eventually contact your landlord to establish that they have granted permission for a pet?
Yes
No
Please list the name(s) and phone number(s) of the Veterinarian you are currently or plan to use for your new pet.
How are you planning on housing this pup:
Inside Outside Kennel Runs
Chaining Free roam Fenced in Yard Other
Where will your new pet sleep
What plans do you have for your new pet:
Pet/companion Breeder Show
Agility Obedience
If you plan to breed this dog, why are you interested in breeding.
If you have no plans to breed this dog,would you be willing to sign a spay/neuter contract.
Yes
No
If you are unable to keep this dog,FOR ANY REASON, would you be willing to contact us and ship the dog at your expense?
Yes
No
If you answered yes,would you be willing to sign a contract agreeing to this?
Yes
No
Please list 3 references, name ,home phone, email if they have one.
Shipping preference.
Cargo
Flight companion
Please List 2 airports that are near you for shipping.
Thank you for choosing Jaya's Designer Cresteds. We look forward to hearing from you. Sincerely, Carmen Ortiz-Sandoval