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Application

UPDATE!!!  Please read!

The application form is not working correctly.  We have not been able to access any of the data from applications that people have submitted.  If you have submitted one, then please send us an email instead with the general information that we're requesting below.  We apologize for any inconvenience and will remove this warning when the problem has been corrected.

If interested in one of our puppies, please provide answers to all of the following questions.  Your information will be reviewed, stored on file, and you will be contacted for further questions or when a puppy is available that looks like it will be a match for your family!

Please provide the following contact information:

Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
URL

How many pets/dogs do you currently own? Please tell us about them.


What type of fencing do you have?


Have you owned a pug before?


Are you familiar with the needs of short-nosed dogs such as pugs? Can you accomodate their needs?


Does anyone in your family have allergies to pets?


How many people are in the house? Ages?


Name, phone number and address of your veterinarian. May we contact them?


Are you interested in limited or full registration?


Webmaster at Briarwood Kennels
Copyright © 2005 Briarwood Kennels. All rights reserved.
Revised: 03/10/07