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B & G English Bulldogs & Pugs Puppy Questionnaire

*First & Last Name:
*Address:
*City & State:
*Phone Number:
*Email Address:
*Do you live in a: House
Apartment
Condo
Mobile Home
Other
*Do you: Rent
Own
If you rent has your landlord agreed in writing to allow you to have a dog on the premises? Yes
No
*Do you have a securely fenced in yard? Yes
No
*Where will the puppy live? In the home
Outside
Kennel
Other
*Are there any other dogs in your residence at this time? Yes
No
If yes, what breeds?
*Do you have a regular veterinarian? Yes
No
If yes, please list name, address, and phone number.
*Are there likely to be any major changes in your lifestyle in the near future (moving, pregnancy, etc..)? Yes
No
If yes, please explain.
*Are you familiar with this breed? Yes
A Little
Still Researching
No
*Are you aware of the health issues that are common with this breed? Yes
A Little
Still Researching
No
*What are your intentions for your new puppy? Pet
Breeding
*Do you understand that a puppy sold as a pet must be spayed/neutered? Yes
No
We only sell a puppy with full breeding rights to experienced breeders! If you are looking for breeding rights please describe your experience in breeding.
*Please tell us a little about yourself.

I acknowledge that the above information is true and correct to the best of my knowledge.

*By typing in your name it will act as your signature.
*Date:

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