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So you are interested in a Golden Meadows Puppy? Please fill this form out so we can match the right puppy to your family.

Name:

Address:                                           City:                              

State:            Zip:    Phone:()

 

Referred by:

How many Retrievers are you acquainted with?

What type of home do you live in?

Do you have a Veterinarian now ?

Tell us a little bit about your leisure activities:

Tell us a little bit about yourself & family:

 

Do you have any children? 

            If yes, what are their ages?:

Do you own any other animals ?   If yes what kind ?   How many ?

Have you ever owned a dog before ?      A Golden Retriever?    A Vizsla

Does anyone in your family have allergies to animals ?

What type of dog are you interested in?                  

What sex puppy are you interested in ?

What color puppy are you interested in ?     

What type of activity level are you looking for in a puppy ?

Do want to purchase a fully trained pup? 

What other attributes are you looking for in a puppy ?

E-Mail Address:        

The following is for market research only:

Date of Birth

Gender     Marital Status    

Please indicate your current Household income

Please indicate the highest level of education

Which of the following categories best describes your primary field

Which of the following best describes your role in your industry

    

 

 


Last modified: 03/11/2010