Your full name:
Your email address: (e.g.: you@aol.com)

Your phone number (with country, city, area codes):

Have you ever had a puppy before?
  Yes   No

Do you have any other pets now?
  Yes   No

Do you have a fenced yard?(not mandatory, but preferred)
  Yes   No

Is there someone at home during the day?
  Yes   No

Do you have children?   Yes   No
If so what are their ages?
Are you interested in a puppy for pet, show or breeding?
What sex and color are you interested in?
Have you ever owned a poodle before?
Tell me a little about yourself.
                       

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