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Address Info etc here

*Name:

*Address:

*Phone (Home):

Phone (Work):

*Email:

*Family Status:

Married
Widowed
Divorced
Single

*Will this be your first Cavalier?:

Yes
No

*What was your attraction to this breed?:

*Do you have a color preference?:

Blenheim
Tri
Black and Tan
Ruby

*What sex of the puppy do you prefer?:

Male
Female
No Preference

*Why is this your preference?:

*Other pets in your home?:

*ALL pet Cavaliers are placed by us with a signed spay/neuter agreement. Are you willing to do this surgical alteration when puppy reaches the appropriate age?:

Yes
No

*Approximately how many hours a day, during a normal day, will your Cavalier be left at home alone?:

Any further information you can supply would be wonderful to get to know you better and know what individual puppy personality best fits you and your family life style:

*Sign by typing your full name here:

*Date: