Havanese Puppy Application

       Please note: When filling this application out there are no right or wrong answers. This application helps me put the right Havanese Puppy with your family.

First Name:
Last Name:
Street Address:
Town/City:
State:
Home Phone:
Cell/Work Phone:
Email Address:
Your Vet:
Breeds of Dogs Owned Prior:
Animals You Currently Own:
When Would You Like to Bring a New Puppy Home:
Show Quality/Pet Quality:
Have You Ever Finished a Champion Before?:
Are You Going to Hire a Handler?:
Comments:

                                                       

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Contact:

George Lauterbach
(305) 600-1734
george@clearbrookhavanese.com
Serving South Florida , New York, California