HILLTOP CHIHUAHUAS

Your Dog's Home Before Home

Puppy Form

Name Address - will not be given out
e-mail address: *Phone number
*Are you over 18?
yes
no
*What are your current living arrangements?
apartment
farm
single family home
mobile home
other
Please tell me if you would like a boy or girl puppy, and color preferences if any.
*Which puppy are you interested in? Please make 2 choices some may be on hold.
waiting list girl
waiting list boy
longhair male M1$550.00
Male M3 $500.00
*How many hours a week do you work?
unemployed
0 - 10 hours
10 - 20 hours
20 - 30 hours
30 - 40 hours
40 or more hours
does not matter, I can take my dog to work
*Are you...
single
married
long term relationship
dating
*How many children live in your household and what are their ages?
*Have you ever had to take an animal to a shelter? If so, please explain the situation.
*List all current pets that you own, name and breed.
*I plan on keeping my Chihuahua..
inside
outside
*Please state the reason that you are interested in a Chihuahua puppy, what you plan to do with your puppy; breed, friend, obedience, gift, etc.
*Is everyone who lives in your household in agreement to purchasing a Chihuahua puppy?
yes
no
How did you hear about Hilltop Kennels?