MidnightBlue Chihuahua's of Walkerton,Indiana

Carla Barkman 574-586-7131

Chihuahua Application

*1. What is your full name? *2. What is your home address? *3. What is your zip code? *4. What is your home phone number? *5. What is your cell phone number? *6. Why do you want to buy a Chihuahua?
*7. Do you want a male or female?
Male, long hair
Female, long hair
Male, short hair
Female, short hair
*8. Which puppy/adult are you wanting to buy? Please tell me the puppy's name that is up for sale. *9. Are you over the age of 18? *10. What will the puppy you purchase be?
*11. If you are going to be breeding the puppy you purchase, please tell me your breeding practices?
*12. Do you have a web site? Please provide the link to your web site.
*13. Have you owned a dog before? What happened to the dog?
*14. What do you know about the Chihuahua breed?
*15. Do you have large dogs or have other pets? Please tell us about your large animals and other pets.
*16. Do you have children? What are their ages? Please check all that apply. *17. Have your children been around small dogs and do they know how to handle small dogs? Check all that apply *18. Are all the family members in agreement in purchasing a puppy/adult Chihuahua?
Yes
No
Haven't decided yet
*19. Have you taken an animal to a shelter or pound? Please explain what happened.
*20. How much time will you spend with your Chihuahua per day?
*21. How will you keep your puppy/adult safe when it is outside?
I have a fenced in yard
No, fenced in yard
I have a kennel
I will be outside with the Chihuahua
The Chihuahua will be on a leash at all times
*22. Where will your puppy/adult be kept when you are not at home? Check all that apply.
The Chihuahua will be kept in a room with a gate up.
The Chihuahua will be kept in a crate or kennel
The Chihuahua will have the run of the house
The Chihuahua will have it's own room
*23. What would cause you to no longer be able to keep the Chihuahua you purchased from us and would you bring the Chihuahua back to us?
*24. What type of housing do you have? Please check all that apply.
Rent your home
Own your home
Live in apartment and Landlord allows pets
Live in apartment and the Landlord doesn't allow pets
Rent a Condo or Townhouse
Own a Condo or Townhouse
Live with my parents and they are in agreement that I get a Chihuahua puppy/adult
*25. Will you be able to pick up the Chihuahua you purchase?
Yes
No
I will have to have the Chihuahua shipped to me. I understand about the added cost of shipping.
*26. Are you prepared to spend money on your Chihuahua if it becomes ill or hurt?
*27. Please tell us about you and your family.
*28. What is your email address? No email address will be listed in the email address of the application. So I need your email address to get back with you!

Thank you for your time and effort in answering these questions on my applications. I am only trying to get to know you a little better and to make sure that the Chihuahua breed is the right breed for you, your family, and your life style.

After I get the chance to review your application, I will send you an email letting you know if your application has been approved!

Once I have approved your application, the next step is to send your deposit to me for your Chihuahua. (All deposits and payments are nonrefundable! NO EXCEPTIONS!) I generally require half of the price of the Chihuahua as the deposit. If this doesn't work out for you, please let me know and we will work something out. The deposit will hold your Chihuahua and I will not sell it to anyone else!

MidnightBlue Chihuahua's of Walkerton,Indiana

Carla Barkman 574-586-7131

Chihuahua Application

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