PUPPY APPLICATION

Address--Also include City /State: *

Phone Number AND Email *

Facebook Name/Account: Link *

Instagram Name/Account Link *

Attach your Drivers License or State ID--This is to verify who you are for MY safety.& helps lessen the fakes and frauds ++++APP WILL NOT BE PROCESSED WITHOUT IT-DO NOT SEND me a picture of yourself or your dog or anything else-IF you arent comfortable showing your ID you will need to go elsewhere -with that being said if your ss# is on DL then simply mark thru it- *element_settings.FileUpload_82023692.default *

Max file size: 20MB

Sex of the Puppy You Prefer *

Male Female Either

Price Range- YOU wish to stay in *

$2500-3000 $3100-3500 $3500-4000 $4100 & up for My Extreme Signature look

For the extreme signature look Unlimited Budget - we find it best to list your personal max *

Do you work away from home ? what hours ? What provisions will be made for baby while at work. *

Size Range: *

6/7 lb range (kid friendly) 4-6 lbs 3-4 lbs size doesn"t matter

List childrens ages under 12: that live at home *

Do you have other animals , please list breed and age *

Have you ever owned a yorkie before? *

Yes No

When EXACTLY are you wanting to add your new puppy? Have you taken your vacation or do you have one coming up that would prevent you from getting a puppy- now? Have you spoken to your family-,significant other-landlord ? PLEASE DO SO BEFORE FILLING OUT THE APPLICATION IF YOU ARE NOT READY->> *

What Is HYPOGLYCEMIA In Puppies & how is it treated ? IF , YOU DO NOT KNOW --PLEASE CLICK TAB on my website about it , then explain. *

Personality you would like to see in your puppy: *

List your vet clinic & phone #: *

IF SOMEONE REFERRED YOU TO ME-please include their name here --as we value our referrals & like to Thank them personally. *

How far are you willing to drive to pick up your puppy -we are located in Memphis TN area. *

IF picking up in person---do you understand puppy must be paid for before meeting for safety? *

Yes No

Will you fly in to pick up your baby (Memphis International)? *

Yes No Doesn't apply

Will you need a personal nanny to bring your baby to you? *

Yes No Doesn't apply

If YES to the above; Include 2 of the Largest airports closest to you. *

YOUR CART

PUPPY APPLICATION

PUPPY APPLICATION / QUESTIONNAIRE