About You

Full Name (required)
Email Address (required)
Telephone Number (required)
Address
Occupation
Other members in the household

Your Home

Type of dwelling HouseApartmentCondoOther
How long have you resided at this residence?
Are there other pets in the household?
Who will be the puppy's primary caregiver?
On average, how long will the puppy be left alone?
Where will the puppy sleep?

The Puppy

What puppy are you interested in?
Sex MaleFemaleNo preference
Color

Your Experience

Please share what experience you have had with owning dogs previously
Why do you think your home would be a good match for a Havanese?
Have you ever turned a dog into a shelter? If so, why?
Have you ever just dumped a dog off somewhere because you did not want to take care of it anymore? If so, why?
Have you ever been accused of abusing an animal? If so, please explain.

Please Confirm

Do you understand the difference between a full or limited registration with AKC?

YesNo

Are you willing to travel to East Texas to pick up the puppy you have chosen?

YesNo

Do you understand that all Havanese do require grooming?

YesNo

I confirm the information above is true.

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