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Blue Note Aussie’s♫
Inquiry Form
If you would like to inquire about any of our dogs, puppies, or litters please fill out the following form.
PLEASE be sure before filling out the Inquiry Form, that you have read the previous pages about our
policies. We will assume when we receive your inquiry that you are familiar with them.
We realize that this may be time consuming, but do appreciate you taking the time to do it. This form
allows us to understand exactly what you are looking for, and a method in which to have your
information on file. Thank you!
Top of Form
Interested in:
Placing a reservation on a current or planned litter (PET, SHOW OR PERFORMANCE)
Being placed on a waiting list for future litters (SHOW OR PERFORMANCE ONLY)
Talking further about available adults.
(Sorry we are no longer doing a waiting list on future litters for pet puppies, but only for competition
performance homes and show homes, due to the specific needs of those owners and dogs.)
DOG INFO
Are you interested in: Puppy Adult Either
Are you interested in Male Female Either
Color:
Any color is fine.
Any color is fine, but I would prefer:
I am only interested in the following color:
Dog is considered for what purpose: (choose all that apply)
Companion
Conformation
Breeding
Obedience
Agility
Herding
Other
FAMILY INFO
Name (Required)
Kennel Name (if applicable)
Address (Required)
City State/Province Postal Code (Required)
Country
E-mail Address (Required)
Web Site (if applicable)
Home Phone Number (Required)
Work Phone Number (if applicable)<
Other Phone Number (if applicable)
Are you over 18? Yes No
If no, please include your parent's name.
Children at home? No Yes - Ages:
Do you live in a: House Apartment
Do you have a fenced in yard? Yes No
What type of fence and how tall?
Where will the dog live? Indoors Outdoors Both
Will you use a crate for the dog? Yes No
Will anyone be home during the day with the dog? Yes No
If no, how many hours will the dog be alone daily?
If no, where will the dog be kept while it is alone?
Who will be the dog's primary care giver?
OTHER DOG RELATED INFO
Have you previously trained a dog? No Yes - If yes, in what areas?
Have you previously titled a dog? No Yes - If yes, what titles?
Have you previously bred dogs? No Yes - If yes, please describe:
Dogs previously owned & why no longer owned: (Required) Please include names, ages, breed and
other info.
Number of dogs currently owned of all breeds: (Required)
Dogs owned currently: (Required) Please include names, ages, breed and other info.
If you have not owned this breed before briefly tell us what attracted you to this particular bred?
Briefly tell us what your goals are for this particular puppy, and who in the family the dog is for.
Also, if purchased for breeding purposes, what your plans and priorities for your breeding program
are.
References (Name and Phone or E-mail [ preferred]) (Required)
Vet
Other
Other
Other
If you are inquiring about a show / breeding quality puppy we require references from breeders who
you have purchased dogs from previously.
How did you find out about us?
Have you read and do you understand our policy of placing dogs? Yes No
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