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First Name
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Last Name
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Home Address
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City, State, Zip
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What type of area do you live in?
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City
Country
Surburban
Your Home Number
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Your Cell Number
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Your email address
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Your Occupation
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Your spouses/partners full name
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Their occupation
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Do you have any children in the home?
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Ages of Children
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Have you ever owned a Doberman before?
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Do you have any other pets?
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If so, Neutered?
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Which do you prefer? Male or Female?
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What Color?
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What is your reason for wanting a Doberman?
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companion
performance, agility, obedience, etc
conformation/showing
breeding
other
Are you planning on showing your dog?
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Will you show it or a professional/handler?
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Have you ever finished an AKC Championship on a dog before?
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Have you ever put a performance title on a dog? What title?
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Where will your Doberman live?
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Do you have a fenced in yard? If so, what kind?
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Will you crate this puppy?
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If so, How often and how long?
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How much time will your puppy spend alone in one day?
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Are you planning on breeding your Doberman?
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If you are unable to keep your Doberman, are you willing to return him/her to us? We require that the puppy/dog be returned to us first to rehome.
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Please list a vet reference and phone number
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Please list a personal reference that is not related to you and phone number
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