Puppy Questionnaire -- Kim Lee Chinese Shar-Pei, Millersburg PA

Puppy Questionnaire

To indicate an interest in a future puppy, please complete the following questionnaire. We try to match our puppies to the type of home and expectations of our purchasers.

We respect your privacy, and do NOT share Email addresses or other information with anyone. [You can remove your name from this list at any time by sending a message to unsubscribe@kimleecsp.com.]
*All fields require an entry. Please enter "None" or "Not Applicable" if the item does not apply.*
Name
Address
Home Phone
Other Phone (Work/Cell)
Email Address
Employer & Occupation
Marital Status
Number and Age(s) of Child(ren)
Other Pets in your home
Please describe why you want a Shar-Pei
Describe the puppy you are seeking (Please indicate if you have no preference or if you are not sure)
Gender Preference	Male Female No Preference
Color Preference	FawnCreamBlackOther No Preference
Coat Style	Horsecoat Brushcoat No Preference
Do you prefer	Show Quality Pet Quality

We respect your privacy, and do NOT share Email addresses or other information with anyone.
[You can remove your name from this list at any time by sending a message to unsubscribe@kimleecsp.com.]

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