Paul Croley Jagerdobes 205 Main Street, Williamsburg, Kentucky 40769 Tel: 606-215-0264 Email: Cindy Lane-Smith clreatta@msn.com www.jagerdobes.com Application for Prospective Puppy Buyer Name First Name: Last Name: Address Street: Town: State/Province: Zip/Postal Code: Home Phone: area code: number: Work Phone: area code: number: Cell Phone: area code: number: Email: Other Details Reason for wanting a Puppy:   Male or Female Why?   Color Preference: Red Black   Companion – Show – Obedience – Other Why?   Have you owned Dobermans before? Yes No   Still owns? Yes No If not, how did Doberman die? Current Pets?   Male Female   spayed/neutered Yes No How far will you travel to get your new puppy? Time Frame looking for a new puppy? Family members & ages: How much time will the puppy be alone?   Is your yard fenced? Yes No Height of existing fence? Type of fence? If no fence: will you provide one before your puppy comes home? Yes No [No fence, no puppy]         Reference Current or prior Veterinarian: Address: Phone: area code: number: Second Reference: Address: Phone: area code: number: All prospective puppy buyers must have a home visit by myself or an associate in their area.