Have you ever owned a Standard Poodle or Chinese Crested?

Yes No

Is everyone in your household agreeable to adding a puppy?

Yes No

Do you have a fenced yard?

Yes No

How many people are in your household?

1 2 3 4 5 More than 5

Describe your reason for wanting a Standard Poodle or Chinese Crested.

Please give us a person we could contact for a reference, name, address and phone number.

Please give us your vet's name and address and phone number (if applicable)

Please give us your groomer's name and address and phone number (if applicable)

What sex puppy are you interested in? Male Female

What color puppy are you interested in? Apricot Red Other

If you are interested in a Crested what variety? N/A Powder Puff Hairless

Your Name Your address Your phone number Your e-mail address