PERIZAD
CHINESE CRESTEDS
Puppy Application Form
Please copy and paste to e-mail, fill out and send to...
NAME
ADDRESS
CITY
STATE
ZIP/POSTAL CODE
PHONE #
ARE YOU INTERESTED IN A POWDER PUFF, TRUE HAIRLESS or HAIRY HAIRLESS?
IS THERE A SPECIFIC PUPPY YOU ARE INTERESTED IN?
COLOR
DO YOU WANT A PET /DO YOU PLAN TO BREED, SHOW, OR SPAY/NEUTER?
ARE YOU WILLING TO SIGN A SPAY/NEUTER CONTRACT IF PUPPY IS NOT OF BREEDING/SHOWING STANDARD?
ANY OTHER SPECIFICS
DO YOU OWN ANY OTHER BREEDS/WHAT TYPES?
DO YOU HAVE ANY OTHER PETS?
DO YOU HAVE CHILDREN?
TELL ME A BIT ABOUT YOU, YOUR FAMILY AND YOUR LIVING SITUATION!
WHERE WOULD YOU KEEP YOUR CHINESE CRESTED?
WHAT INTERESTS YOU ABOUT THIS BREED?
COMMENTS/QUESTIONS
WHERE DID YOU HEAR ABOUT US?
Thank you for your interest. I will contact you as soon as possible.
Jill Gibbs