Phone Number:
Address:
City:
State:
Zip:
Website (if applicable):
Do you wish to subscribe to our Chihuahua New Litter
Notification List?
(You will receive e-mail updates when we have new litters arrive)
Yes!
No
Do you wish to subscribe to our Italian Greyhound
New Litter Notification List?
(You will receive e-mail updates when we have new litters arrive)
Yes!
No
Are you intrested in a:
Chihuahua
Italian Greyhound
Not Sure
Both
Are you currently intrested in a specific puppy
we have listed? (If yes, which one?)
What attracted you to this breed?
Do you currently own any Chihuahuas
or IGs? (If so, how many?)
What are you looking for in your new
Puppy?
Are you interested in breeding your
new Puppy?
Yes
No
Are you willing to spay or neuter your
new Puppy if you are purchasing a pet?
Yes
No
Do you have a preference for age,
sex, color, or other traits?
Do you have a fenced in yard?
Yes
No
Do you have any additional questions/comments for us?
Please give three references:
(vet, breeder, friend, etc - If you currently own a pet, Must supply
vet)
Please include contact info: Name, eMail, and Phone if possible.
How did you find our website?
(Which referral, link, search engine, etc)
Thanks!