Your Full Name (First and Last)

Your Home Phone Number

Secondary Phone Number

City

State

Country

E Mail Address

(Be sure you include your email, or I can NOT reply to your inquiry!!!)

Vetrinarian Reference

Vetrinarian Phone Number

Personal Reference #1

Personal Reference #1 Phone Number

Personal Reference #2

Personal Reference #2 Phone Number

Personal Reference #3

Personal Reference #3 Phone Number

Website (If applicable)

How did you find our Website?
<Please Select One>Link From Breeder SiteWord Of MouthBusiness CardReferral By Other BreederOther Boxer SiteSearch EngineJust Wandered in From SomewhereI Have No ClueOther

Who are you purchasing the dog for?
<Please Select One>SelfFamilySelf and FamilyAs a GiftOther

Are you seeking:
<Please Select One>Pet PuppyShow PuppyAdult/Young Adult DogAdult or PuppyI need more Information to decideUnsure

Are you seeking:
<Please Select One>Male PuppyFemale PuppyNo PreferenceUnsureI need more info to decide

Are you seeking:
<Please Select One>Fawn PuppyBrindle PuppyWhite PuppyNo PreferenceOther

Are you interested in any particular litter on our Website? If so, which?

If you are seeking a Show Puppy, have you ever shown dogs before?
<Please Select One>Yes, I've shown BoxersYes, I've shown another breedNo, I have never shown dogs before, but want to learn!No, I just want a pet!!!

If you have shown another breed, what breed, and did any of your dogs complete their AKC Championship?

Are you interested in breeding your dog, or do you only want a pet (spay/neuter)?
<Please Select One>Yes - Im considering BreedingNo - I only want a pet!Don't Know Yet

If you are seeking a pet puppy only, do you have a problem with your pet puppy being sold on a spay/neuter contract?
<Please Select One>No , I plan to spay/neuter my petYes, I may want to breed

If you answered yes to EITHER of the above questions please tell us why you may want to possibly breed your dog?

Have you owned Dogs Before? YesNo

Have you owned Boxers before? YesNo

Are there pets in your home now?  If so, tell us about them:

What happened to your last pet?

What is your primary interest in adding a Boxer?
<Please Select One>Pet/CompanionShow ProspectWatch/Guard DogBreeding AnimalObedience/AgilityTherapy DogOther

What is the main consideration when choosing a dog?
<Please Select One>The BreederThe PedigreeAppearanceBreeder, Pedigree, and AppearancePriceLocationAvailabilityOther

Do you have a fenced in Yard?
<Please Select One>YesNoAdding One SoonWe have another alternative.Electronic Fence

Which Best Describes Your Home?
<Please Select One>House in the CountryHouse in the CityHouse in the SuburbsTownhouse/SubdivisionApartmentOther

Do you Own or Rent?
<Please Select One>OwnRent

How long have you lived there?

How many people live there?

Do you have kids?
<Please Select One>NoNot Yet Yes - Under 1 year to 3 yearsYes - 3-6 Years OldYes - 6-9 Years OldYes - 9-12 Years OldYes - 12 Years and UpYes - Multiple Kids, Multiple Age Groups

Where will the dog live and/or spend most of its time?
<Please Select One>InsideOutsideOther

How long will the dog be left alone each day?
<Please Select One>None1-2 Hours Per Day2-4 Hours Per Day4-6 Hours Per Day6-8 Hours Per Day8+ Hours Per Day

Where will you leave the dog when its alone?
<Please Select One>CrateLoose in HouseConfined Area, or Room Outside (Yard/Kennel)Other

What made you decide on a Boxer?
<Please Select One>LooksTemperamentFriend Owns OneProtection/GuardOwned one or more beforeRecommendedOther

If you chose "Other" Please explain:

If you have never owned a Boxer before, have you been able to spend time with the breed to determine if its right for you?
<Please Select One>YesNoNo, but I would like toYes, I already own, or owned a Boxer

What kind of relationship do you feel you should have with the breeder after the purchase of your dog?
<Please Select One>FriendMentorAdvisorSalesperson OnlyNo Relationship after purchase of dog

Are you willing to arrange a home visit?
<Please Select One>YesNo

When is your timeframe for bringing home a puppy?
<Please Select One>As soon as possible!Within 3 months3-6 months6 Months to a Year12-18 MonthsNext YearNo set timeI'm just researching right now!Other

Have you spoken with any other Boxer Breeders, and/or are you on a waiting list for any other litters?
<Please Select One>YesNo

If yes, who?

 
 

Do you have any questions, or comments??

If we have no puppies, do you want us to make your information available to a small group of other reputable breeders? Yes No
If you choose No, you may contact us privately for references.

Thank you!
Please be patient while we are reviewing your submission, we will reply soon!