Shinto Akitas
Robert & Chris Ann Moore
The below information is confidential and will assist in helping make the right selection for your family. Thank you for both showing an interest and taking the time to answer the following questions. Please email your questionnaire to bisacd@aol.com.
Name: _________________________ Address: ___________________________
City: ____________________ State: _________________ Zip: ___________
Phone: __________________ E-mail Address: ___________________________
How did you here about Shinto Akitas? _____________________________________
Type puppy interested in? (Male/female)____________________________________
Show prospect or companion? (Show prospect required to be shown by contract and companion will require a spay/neuter contract) __________________________________
List any specific characteristics including color preference if any. ________________
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Have you ever owned
an
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What if any research have you done on the
Do you currently have any other pets? (Include type, number, sex etc.)_____________
________________________________________________________________________
What type facilities do you have? (Fenced yard or run, height of fencing, type fencing, etc.) ____________________________________________________________________
________________________________________________________________________
Will
Do you have children? If yes how many and their ages? ________________________
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Signature: _______________________________ Date: _______________