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Your Full Name:
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Email Address:
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Your address, street, city, state/province, postal/zip code
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Phone number, including area code:
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Vet's name and phone number:
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How Did you Find Us?
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What Sex are you looking for?
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Male
Female
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What Are you Mainly Looking For?
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Show
Pet
Hunting Companion
Hunting/Show
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Is Your Yard Fenced In?
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Yes
No
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If your yard is not fenced in, how will you secure puppy outside?
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Do you own or rent your home?
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Own
Rent
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Will your puppy be kept indoors or outdoors?
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What purpose will one of our dogs serve in your household?
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Have you previously owned an American Staffordshire Terrier or a Wire-haired Vizsla?
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If yes, do you still have? or reason you no longer have?
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List other breeds previously or currently owned.
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List other animals (dogs, cats, etc) currently in household?
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Are you planning to attend training classes with your puppy?
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Have you ever taken an animal to the shelter/pound for adoption? and if so, why?
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Do you belong to a kennel club or any dog related club? if so , state which ones?
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Have you familiarized yourself with the characteristics of the Amstaf Terrier or Wire-haired Vizsla?
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Yes
No
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How do you plan for the puppy to get to you ie pickup, ship?
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Please provide the name, address,phone #, and email address of 2 references other than your vet:
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Please provide any comments you would like us to know:
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