Please provide the following contact information:
This information will be kept confidential and will be used by International K9 only.

Name
Street address
Address Line 2
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail

What breed are you interested in? (German Shepherd, Doberman, etc)
Does your dog need to be good with children?	select... Yes No
If yes, how old are the children? (e.g. 3,7,9)
Does your dog need to be good with other animals?	select... Yes No
If yes, what kind and how old are the other animals?
Will your dog be inside your house?	select... Yes No
Please describe the house and living conditions?
Will your dog go to work with you?	select... Yes No
If yes, please describe the work environment.
Are there any special qualities you desire in your new dog?
Does the dog need to search the house before you enter it?	select... Yes No
Will the dog be riding in the car with you?	select... Yes No
Do you need the dog to prevent car jacking?	select... Yes No
Does you dog need to have gun training?	select... Yes No
(1 = Not Important, 10 = Very Important)
On a scale from 1 to 10, how important is protection to you?
On a scale from 1 to 10, how important is tracking to you?
On a scale from 1 to 10, how important is obedience to you?
In the photo gallery I most like the looks of ?
What coat length do you prefer?	select... Short Medium Long
Is gender important to you?	select... NotImportant WantMale WantFemale
Is color important to you?	select... NotImportant PreferBlack PreferBlackRed PreferBlackTan PreferDarkSable
Where did you hear about us?	select... Sales Question YellowPages TonightShow ShowcaseMagazine Newspaper InternetSearch DuPontRegistry
If referred, from whom?

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