First Name: |
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Last Name: |
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Address:
Street, City,
State, Zip |
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Email Address:  |
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Telephone: |
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| Occupation |
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| Spouse/Partner's Name: |
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| Spouses Occupation: |
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Which of the Following Best Describes You? |
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Do you have children, and what are their ages? |
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Why are you interested in a Doberman Pinscher ? |
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Have you ever owned a Doberman Pinscher before? |
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If Yes, how long did he/she live for and what did he/she die from? |
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If Yes, please give a brief description of your dog. |
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Date or time frame you would like your new puppy/dog? |
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What are your reasons for getting a Doberman ? |
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If showing, have you finished an American Championship on a dog before? If so what breed/breeds ? |
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If Yes, do you show your own dogs or use a professional handler? |
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Have you ever put a performance title on a dog, and if so what breeds ? |
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Where will the doberman live? |
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Do you have fences ? |
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If Fenced, please describe type (eg. wire, wood, invisible) and height. |
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What is your color preference? |
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Preferred Sex ? |
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Will the dog be around any of the following? |
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If other dogs, what sex? |
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Are you willing to accept an AKC Limited Registration and are you willing to spay or neuter your dog if not of breeding quality? |
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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 phone number or address ? |
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Would you Consider owning a Doberman over 6 months old? |
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How did you hear about us? |
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Any additional information or comments ? |
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