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Border Terrier Puppy Questionnaire
Puppy Questionnaire - Border Terriers
RUSHWIND BORDER TERRIERS DANIEL AND BECKY OLSON W4167 650TH AVE. BELDENVILLE, WISCONSIN 54003 rushwind@svtel.net
Name
First
Last
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
Phone
Phone - Alternate
How did you learn about our Border Terriers?
Check your gender preference:
FEMALE
MALE
For what purpose do you wish to obtain a Border Terrier? (check all that apply)
Companion/Pet
Show
Obedience/Agility
Protection
Earth Dog
Click in the entry box and select your choices, to select another repeat the process.
Have you met a Border Terrier in person?
Have you previously owned a BT?
Do you currently have other pets?
Yes
No
Please tell us about them
Have you previously owned pets
Yes
No
What happened to them?
Have you ever had to euthanize a pet ? (put them to sleep). If so , why?
Do you have any problem with spaying or neutering this BT? If so, please explain?
What is your opinion of Crate Training?
Your Household
Are you?
Married
Single
Divorced
Widowed
What is your age?
Number of children at home / ages?
Occupation of Adults
Who will be the PRIMARY CARETAKER of this dog?
If you work, what will you do with your puppy while you are away?
Do you reside in the ...
City
Country
Suburbs
Do you live in a ...
House
Apartment
Townhouse
If you do not have a Fenced Yard or Dog Run what secure/outdoor area do you have?
Are you aware that Border Terriers must be leashed when not in a fenced area?
Please comment:
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