Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

What size range are you looking for in your new puppy? *

15-25+ lbs

25-45+ lbs

No Preference

Gender *

Male

Female

No Preference

Purpose *

Companion

Service

Therapy

Breeding

What type of energy are you looking for in your new puppy? *

Low to medium energy level

Medium to high energy level

Would you need delivery within the U.S. *

Yes, I will require a flight nanny at an additional cost.

No, I plan on flying in myself and will take my puppy home

Yes, I would like to hear about ground delivery options.

No, I plan on driving to your location to pick up my puppy.

Unsure.

Have you read our FAQ page? *

If you haven't, please read through our FAQ page.

Yes

No

Are you aware that our wait time can be up to 12-18 months? *

Yes

No

How long are you willing to wait for your new puppy? *

Up to 12-18 Months

I will wait until the perfect puppy becomes available.

Are you aware that our $250 deposit to secure your spot on our waiting list is non-refundable and will go towards the total cost of your new puppy? *

Yes

No

Are you able to properly train and socialize a new puppy? *

Yes

No