Application for purchasing a GIPFEL GERMAN SHEPHERD puppy. All fields must be completed for this application to be considered

First Name

Last Name

Address

City/Suburb/Community

State

Postal Code

Phone Number

email address

Which are you interested in?

Colour/coat preference

Sable

Black and Tan

Long Coat

No preference

Please indicate preferred gender of the puppy.

Have you owned a dog in the past?

Have you owned the breed to which you are interested?

Do you agree in Desexing?

Please indicate your living status

How did you locate this kennel?

What are your feelings on obedience classes for dogs?

Please check all that apply

Am willing to sign a purchase contract

Am willing to pick up puppy in person

Am willing to have puppy flown to my location

Agree that puppy will be sold on limited registration for pets

Pets and show dogs are the same price. How would you prefer to pay for your puppy? (please check one)

One lump sum prior to obtaining the puppy

One half the cost at 6 weeks, remaining amount when puppy is picked up

Deposit to hold puppy and remainder to be paid when puppy is picked up

Is it important that your puppy be registered?

If it is not important, please indicate why you feel this way.

Please give a short explanation as to why

you would like to own this breed.

What are you expectations for this puppy?

What are your expectations from a breeder?

Please list in order with 1 being most important

to you and 5 least important

	Health test documentation of parents
	Awards or titles gained by parents
	Written guarantee of the puppy
	Location of the breeder
	Availabilty of a puppy
	Cost

Please offer at least two references with phone numbers

(non family members)

Do you mind being contacted by phone to discuss this application?

If no, please indicate the best time to be contacted.

Indicates Response Required