Name
DOB
Address
City State Zip
Spouse/Partner
Do you have children?
Rent? Own? How long?
Home phone number
Cell phone number
E-mail address
Employer
Spouse's Employer
3. A. Do you have a fenced yard? YES NO
3. A. Do you have a pool or spa? YES NO
3. A. Do you currently own any other pets? YES NO B. If Yes, tell me about them.
Which litter are you inquiring about?
Are You Looking For a show or companion dog?
What color?
Have you owned a dane before?
Do You own one now?
If so where did you purchase them?
Would you be willing to co-own?
Where will your puppy sleep?
Do You have a crate?
How many hours per day will pup be alone?
Do you want cropped or uncropped ears?
Do You plan to breed your Dane?
Are You aware of the financial costs of a big dog?
Have you ever shown a dog before?
How did you hear about us?