Inquiry Form - Graylan Cavaliers

Colour Preference:

Preferred Sex:

Your Full Name:

Street Address:

Suburb:

Postcode:

PO Box (if applicable):

Home Phone:

Mobile Phone:

Email Address:

Alternative Email (if required):

Please provide details as to whether you and/or your partner are employed or not and if so the industry in which you work and position held? :

The following three questions are seeking information for your future puppy's microchipping registration - as with all information provided, please ensure you complete them correctly.

What is the name of your Local Council:

Please provide the name of an alternative contact, should you be uncontactable:

Alternative contact's phone numbers

Are you a member of a Canine control Council

Please list the members of your family and their ages:

Please advise name and age of primary carers of the puppy:

Is puppy intended as a family pet?

Is puppy intended for agility/obedience?

Is puppy intended for showing or breeding?

Are you, or have you ever been, involved in breeding dogs of any breed or mixed breed, whether a registered breeder or not?

If puppy is intended for breeding or showing, please provide your Prefix name and/or membership number :

Please note that if this is not provided, then you may be unelligible for a show/breeding puppy until such time as evidence is received. Further details may be required for future breeding puppies

Describe puppy's new home for us please including the security of fencing etc:

Please list any other pets you may have, including the breeds and whether they are desexed or entire:

Please advise whether puppy will live inside or outside the home, travel with you etc:

Please describe your proposed exercise programme for puppy:

Please provide details of your current veterinarian, including address and phone number :

Would you be kind enough to describe puppy's future worming/innoculation programme for us please:

Would you please give a short description of why you have chosen this breed:

Please describe what you feel is your 'duty of care' for your new puppy:

Would you like to go onto our waiting list if no suitable puppies are presently available?

How did you hear about us:

(if website, please advise site name - what site did your Google search send you to)

Please confirm that you have read and accept our Terms and Conditions