Name:

              Home phone:

                         Email:

                    
Address:


Personal reference:
                   
    Reference phone #:
    
      Type of residence:



Where will dog be kept most of the
time:

Members of household and ages:

Do you have a fenced yard? If not,
where will dog be exercised and
pottied?

         Present and past pets and if
they are no longer with you, what
are the reasons:

Veterinarian:

     Veterinarian phone #:


What are your plans for this dog?
Pet, Obedience, Conformation
showing, etc...Please explain:

Do  prefer male or female?

Are you willing to spay or neuter?


Will you allow home visit?

May we forward this information to
other breeders?  

Please give any further comments
to assist us in finding the right   
    Boxer  for your family:
   

                      
 
PUPPY INQUIRY FORM

We do not take finding the perfect home for each of our babies lightly.  In order for
you to be considered as a potential home,
this form must be completely filled out.  
Verifiable references
are required and will be contacted. If we do not have anything
available, please give us permission to forward your request to other reputable
breeders.

THANK YOU!