Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

What is the best way to contact you? *

Select all that apply.

Phone call

Text

Do all family members want to get a puppy? *

Yes

No

Is the puppy a surprise for anybody? *

Yes

No

Is anybody in the house allergic to dogs? *

Yes

No

Unsure

Have you ever owned a dog before? *

Yes

No

Have you ever owned an Aussie before? *

Yes

No

Do you agree to notify me if the puppy cannot stay with you for any reason? *

I require that the dog comes back to me! I WILL NOT refund your money for surrendering your dog.

Yes

No

Where do you currently live? *

I own a home

I rent a home

Apartment Complex

Townhouse

Other

Do you understand that I sell puppies with limited registration on a spay/neuter contract? *

*Unless otherwise discussed.

Yes

No

What color/gender do you prefer? *

Check all that apply.

Female

Male

Red Tri/Bi

Black Tri/Bi

Red Merle

Blue Merle

Color does not matter to me

Gender does not matter to me

I understand that a puppy that fits the personality I'm looking for and the color I want may not be readily available. *

I will take do my best to match you with a puppy that meets both your personality requirements and your color preference. Sometimes that doesn't happen right away. Please be patient and willing to work with me. Matching the personality you want is the first priority! If you're flexible on color, you will likely get a puppy sooner than if you're not.

I understand, and agree.

I do not agree.