Your Name (required)

Your Street Address (required)

Your City (required)

Your State (required)

—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingOutside of the US

Your email address (please provide email and/or phone so I can contact you)

Your phone

What is your color preference? (required)
Color unimportantBlackRedBlueFawn

Do you want a male or female?(required)
MaleFemale

Interests
PetShowObedienceAgilityBreedingOther

Have you owned a Doberman before? (required)
YesNo

Do you have a fenced yard?
YesNo

Where will the Doberman live?
Have not decided yetIndoors (When I'm home)Outdoors (When I'm home)Indoors (When I'm away)In Kennel (When I'm on vacation)Outdoors (When I'm away)At business

If something should happen and you cannot keep your new puppy/dog, will you be willing to call the breeder or me? And will you be willing to inform us of any change in your phone number or address ?
YesWill try to rememberNo, not necessary

Anything else you'd like to share?

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