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Date

Name ( & Spouses Name)

First

Last

Street Address

City, State, Zip Code?

Cell Phone (Mr.'s) *

Cell Phone (Mrs.) *

Home Phone

Email*

Occupation? *

Work Phone

Best Time to Call *

Have you owned a German Shepherd before? *

Do you own a German Shepherd now? *

If yes. What is the age of your German Shepherd.

Do you want a *

What color do you want *

What type of drive are you looking for? *

Med/High

High

What age of K-9? *

Young Puppy: Age 2 months to 3 months

Puppy: Age 4 months to 11 months

Young Adult: Age 1 year to 3 years

Adult: Age 4 years to 7 years

Senior: Age 8 to 10 years

What do you want the K-9 to do? *

Checkboxes *

What type of AKC Paperwork do you want? *

Pet Companion: AKC papers are withheld (breeder will hold the AKC papers in clients folder) , This is the most economical priced K-9

AKC Limited Registration: For any K-9 that needs documentation, for AKC competition events, or Service K-9s ( EST. $1000.00 more then the Pet Companion Price)

AKC Full Registration: This allows you to show K-9 at AKC events. This allows you to Breed your K-9 and register the K-9s Puppy.

Business Opportunity: AKC Full Registration: you breed your K-9 with us. WE split profits 50/50

AKC Full Registration: you want to start your own Breeding Business with our Champion Bloodline

Unsure: TELL ME MORE

When do you want to take puppy home?

Are you military or law enforcement personnel? *

Who referred us to you? *

Are you interested in training with your K-9?

Message

Optional: Do you want information on how to grow your K-9 the biggest and healthiest as possible?

No

Yes

Yes I am willing to spend top dollar on Nutrion for my puppy for Vitamins & Supplements. $100/ a month. $1,200 a year.

Yes: I am willing to pay $80.00/a month. $1000 a year.

Yes: I am willing to pay for the vitamins for the first 6 months of pups life. Most crucial growth period for my puppy. Priced at $300-$400.

Yes. I am willing to pay for the first 3 months of the puppies Vitamins and Supplements. Priced at $135.00

Money is an issue. I can not afford the Vitamins and Supplements

Yes. I can afford what it takes to make my K-9 the Biggest and Brightest. I want the Best K-9 in the world.

Do you want Information on types of dog food we recommend

Highest quality dog food: Orijen Priced at $90.00- $100.00 a bag

Royal Canine German Shepherd: Priced at $65-$75 a bag

Blue Buffalo and Taste of the wild: Priced at $50 a bag

Iams Large breed Puppy or Purina Puppy Chow: Priced at $35.00 a bag

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