Are you interested in a Charismatic Doberman?

Please fill in the form below and we will respond to you in the next few days.

* Required fields

* First Name:
* Last Name:
* Address:
City:
State:
Zip Code:
* Email Address:
* Telephone:
  Occupation:



  Spouse/Partner's name:
 
 

Which of the following best describes you?

Single
Married
Long Term Relationship

 
 

Number of Children and ages:

 
 

Why are you interested in a Doberman?

 
 

Have you ever owned a Doberman before ?

Yes No
 
 
If yes, how long did he/she live and what did he/she die of ?

 
 
Will someone be home to raise the young puppy and what date or time frame would you like a new Puppy or Dog?:

 
 

 

What are your reasons for getting a Doberman?


Companion
Performance (obedience/agility/etc.)
Show Dog
Breeding
Other

Multiple items may be chosen.

 
 
Where will the Doberman live? Do you have fences?
Have not decided yet
Indoors (When I'm home)
Outdoors (When I'm home)
Indoors (When I'm away)
In Kennel (When I'm on vacation)
Outdoors (When I'm away)
At business
None
Fenced Yard
Dog kennel or run
 
 
If a fenced yard, please describe type (eg wire, wood, invisible) and height.

 
 
What is your color preference ?
Preferred Sex:
Color Unimportant
Black/rust
Red/rust (seldomly available)
Blue/rust (seldomly available)


Multiple items may be chosen.
Does not matter
Male
Female
 
 

Will the dog be around any of the following?



Other dogs
Cats
Other pets
Livestock
Children
Strangers Occasionally
Strangers Regularly
Situation may vary

Multiple items may be chosen.
   

If Other Dogs, What Sex ?

Female
Male
 
 
Are you willing to accept an AKC Limited Registration and are you willing to spay or neuter your dog if not of breeding quality?
Yes
No
 
 
If something should happen and you cannot keep your new puppy/dog, will you be willing to call us? And will you be willing to inform us of any change in your e-mail, phone, or address ?


Yes
Will try to remember
No, not necessary
 
 

Would you Consider owning a Doberman over 6 months old?


No, I really want a puppy!
Sure, Age is not important
Yes, depending on how old it is.

 
 
How did you hear about us?

 
 

Any additional information or comments ?