Name:
Email address:
Phone Number:
Street Address:
City:
State:
Zip Code:
What are your reasons for wanting a Borzoi (show, pet, performance, breeding):
Have you ever returned a dog to it's breeder? Please explain.
Have you ever taken a pet to the pound or shelter? Please explain.
Have you ever owned a Borzoi before?
If NO, have you researched the breed?
What type of home do you have?
Do you have a fenced yard?
How many hours on average will the pup be left alone?:
Please list all current pets (cats, birds, reptiles, etc)
List species, name, age, whether spayed/neuterd and sex
Will you require shipping?
Are you interested in a male or female?
If puppies are already born is there a particular pup you are interested in?:
Are you a breeder? If so how many dogs do you have and what is your website?
Were you referred to us? If so who referred you?
Veterinarian name and phone number