Puppy Information Questionnaire
Concerned Father & Mother:
Only want the best for their Puppies
1. Your Name (Required):
2. Your Street Address (Required):
3. Your City, Province/State and Postal Code/Zip (Required):
4. Your E-Mail Address (Required):
5. Phone # (Optional):
6. How did you find us? (Breeder Directory, Another buyer, etc.):
7. Do you have any dogs or other pets at this time and please list them:
8. Do you have Children?
9. If you are interested in breeding, please state your experience:
10. Do you own a Mi-Ki now? What registry is it registered in?
11. Do you want:
12. Please feel free to ask us questions?
Thank you for taking the time to fill out this questionnaire
so we can get to know you.