Name:
Address:
Phone number:
Email:
How do you prefer to be contacted? :
How many people are in your family? Do you have children?:
What is your previous experience with owning a puppy or dog? Have you owned a Russell Terrier before?:
Do you have a fenced backyard? How many hours will the dog spend alone? Where will you keep it?:
Do you have any other pets? If so, what type?:
Are you aware that our puppies range from $750 to $850 and then ongoing costs of caring for a dog?:
What is your time frame for acquiring your puppy?:
Do you have a preference for color, markings, coat type or size?:
Do you prefer a male or female or either?:
Do you acknowledge that you have read and understand our Puppy Purchase Information and Guarantee.:
Are you are aware that if you are approved for a puppy and choose to place a deposit that the deposit can be transferred but is nonrefundable?:
Are there any additional comments or information that you would like to provide or be provided with?:
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