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Allure Chihuahuas

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Name

Address

City, State, Zip

Phone

Do you own or rent your home? *

Own

Rent

If you rent, do you have permission to have a chihuahua?

Yes

Please list any pets in the home, their breed, sex and age.

Are your pets spayed/neutered? *

Yes

I don't have pets

Will you be breeding this puppy? *

Yes

Do you agree to have this puppy spayed/neutered? *

Yes

If you answered no to the 2 previous questions, please tell us why you do not want to spay/neuter?

Have you read over our contract? *

Yes

Please provide your veterinarians information:

Are you interested in one of our available puppies? *

Yes

If yes, which one?

If you are not interested in an available puppy, please tell us what you are looking for in your new puppy; gender, color, coat, etc.

Do you require shipping? *

Yes

If yes, please list your nearest international airport.

Please list names and ages of everyone in your household, including children.

Do you have a fenced in yard? *

Yes

Where will the puppy spend the day?

Where will the puppy sleep at night?

How many hours per day will the puppy be alone?

How did you hear about us?

If you were referred to us from one of our past clients, please let us know who, so we can thank them!

Thanks for submitting!

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