Name.

Address

City/State/Zip

Phone

E-mail

1. Do you prefer a male or female?

2. Do you own your home or rent ?

3. Do you have a fenced yard ?

4. Have you ever owned a Doberman before ?

5. If yes how many and do you still have them ?

6. If you never owned a Doberman why did you choose a Dobie. 7. How many people live in your house ?

8. Are their any children ?

9. How many hours a day will your puppy be home along ?

9. How many hours a day will your puppy be home along ?

11. Where will the puppy sleep and stay when you are not home ?

12. Do you prefer cropped ears ?