Please fill out then copy and paste into an e-mail and  send it to denise@dreamlandfarm.com  thank-you

 Dream Land Puppy Application


Name


E-mail contact


Phone contact


City, State


Do you rent or own your
home


Do you have a secure fenced back
yard


Number of Household
members


Any Children living at
home


Children's Ages



Do you work?


Full-Time






Part-Time






Retired


Dog Preferences


Puppy


Adult





Companion Pet


Companion Show    (We are happy to mentor you  in this area)






Male





Female


Have you ever finished a dog with an AKC or International
  title?


If so, Please
Explain



Are you interested in showing at AKC or international
  competitions?


If so, what area's interest
you


Do you have any other animals living in your
home?


If yes, please list all other animals in your
home.



Have you ever had to place one of your animals into an
  animal shelter or with an animal rescue
organization?


If so, Please
explain



How did you hear about Havanese and what is your
experience with them what attracts you to this
breed?