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Your Name:

 

Address:

 

Suburb:

 

State:

 

Country:

 

Phone Number:

 

Mobile Number:

 

Email Address:

 

Your age?

Under 18
Over 18
 

Living Arrangements?

Owner/ Buyer
Renting (we have Landlord's Permission for a dog)
Renting (haven't got Landlord's Permission for a dog, yet)
Family
 

Please tell us about your family situation (number of Adults, children (age of children)?

Do you have any other pets? (cats, dogs, etc)

 

Why would you like a Stafford

What do you want to do with the puppy? (select one or more)

Show
Obedience/ Agility
Pet
Breeding
 

What colour do your prefer?

What sex would you prefer?

Male
Female
Either
 

Will the pup be desexed?

Yes
No
Undecided
 

Will the puppy be a inside or outside dog?

How many hours per day will the pup spend alone?

Where will the puppy be kept when he/ she is alone?

Please describe your backyard and fences? (Size, Height, Type)

Have you had your preferred breed previously?

What previous dog ownership experience have you had?

We like to keep in contact with all new owners and visit the pups for photos and updates. Do you have any problem with us visiting your home? (Notice will be given before visit)

No
Yes
 

Have you researched your preferred breed?

No
Yes

    Any comments?