Puppy Application

Simply Couture

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Puppy Preference *

Male Female Breeder matches puppy based on personality.

Size Preference *

up to 4 pounds 5 - 7 pounds any size

Do you have a fenced yard suitable for a dog? *

Yes No Will put on a leash

Do you have other animals? *

Dogs Cats Other

If you own any other animals please list breed, weight, spay/neuter info? *

Are you a breeder/ Intend to breed? *

Yes No Looking for show Not sure/maybe

The annual cost of care for a Yorkie is $1500. Is this an expense you are willing and able to undertake? *

Yes No Maybe

Are you willing to train your puppy? *

Yes No Maybe

Are you willing to wait to obtain this puppy?? ? *

Weeks Months As long as it takes

Are you looking for papers? *

AKC No

Are you willing to have this puppy fixed? *

Yes No Maybe

How often does a Yorkie need groomed? *

Every 4 weeks Every 6-8 weeks Daily

Please provide your Vet's name and phone number? *

I am looking for? *

pet Show prospect Sport Prospect Couch potato

Yorkie puppy prices Range $3500 and up. *

Yes No I would never pay that. Price reflects quality.

Please tell us a little bit about yourself and what you want in a puppy. *

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