Name
Address
City
State or Province
Zip or Postal Code
Phone Number
Email
What gender are you?
Please indicate which puppy you are interested in:
Do you live in the:
Do you have other pets?
If yes, what kind?
If no, is this your first pet?
Do your pets travel with you?
Are you aware that the American Cocker Spaniel requires grooming every 3-5 weeks and brushing at least every few days?
Primary Purpose
Where will your puppy sleep?
Where will your puppy be when you are not home?
How many hours a day are you away from home and how will puppy be cared for while you are away?
Do you have a fenced yard?
Have you ever given any of your animals to a shelter or rescue?
If yes, please explain:
Would you be able to pick up the puppy in person or will alternative delivery methods be required?
Where did you learn about us?
What is your vet's name and phone number?
Personal reference(s):
Please tell me anything eles that you would like me to know that makes you a great home !
Note: We will not contact your reference until after a successful interview.
We reserve the right to cancel a sale at any time.
