E-mail Address: *
Name: *
Address: *
Phone Number : *
Your Date of Birth: *
Web Site? *
Please proved the name, address and phone number of your Veterinarian ( If you do not have one, please list a name, address and number of the veterinarian you plan to use) *
What are you looking for in a dog? *
Show Prospect
Proven Show Dog
Breeding Prospect
Proven Breeder
Family Pet
If you are buying this dog as a show dog Please tell me about your show experience (If Any) *
If you are buying this dog as a show dog, are you willing to show said pomeranian in at least 10 AKC sanctioned shows to determine it actual show potential?
Would you be willing to pay for an outside handler if you cannot show the dog yourself?
If purchasing this puppy as a breeding prospect or as a Proven Breeder, do you currently breed Pomeranians ?
IF NO: What experience do you have breeding Pomeranians? If you dont have any just tell me None. If you have experiance breeding another breed of dog tell me about that.
Do you Know the problems that can occur while breeding Pomeranians?
Are you planning on testing all breeding stock for Genetic defects before breeding them ? *
If you are planning on breeding, what are your goals as a breeder ?
What sex would you perfer
What Color are you looking for *
What color pattern do you perfer *
Are you aware of some of the health problems that can appear in some pomeranians? *
Solid
Parti
Tri Colored
Any
Do you have any Children, if yes what are their ages *
Do you have a fenced yard *
Do you own or rent your home? *
If your home is a rental, will your landlord be willing to sign a statement allowing you to keep a Pomeranian? *
Have you ever owned a Pomeranian before? If so, what happened to it? *
Do you have other Pets? If so, what Kind(s)?
Comments: Please add anything that you think would help us in determining what Pomeranian would be right for you *
Are you willing to sign a Puppy Adoption Contract? *
How did you find us? (Breeder referral, another buyer, American Pomeranian Club, Internet directory, etc.) *

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