Please read each question very carefully.
Your full name: Your email address: (e.g.: you@aol.com).
Your phone number (with country, city, area codes):
Do you RENT or OWN?
Do you have a fenced yard? If yes, please describe fence (type, height).
PERSONAL DATA
Age: Relationship Status: Married/Long Term Relationship Widowed Single
If Married or in a long term relationship:
Your Spouse/Significant Other full name:
Your Spouse/Significant Other occupation:
Does your spouse or significant other know and approve of owning a Maltese?
Children?
Other pets? If yes, please give the names and describe type, breed, sex, and age of each:
Are your pets spayed/neutered? Please specify which one(s).
Do you have a veterinarian? His/her name and address please.
If you have had a dog before, describe the dog you owned and what happened to him/her?
Why are you interested in owning a Maltese?
Have you ever owned a Maltese before? If so, what did you enjoy most about it?
Where will the dog stay during the day?
At night?
YOUR PREFERENCES
I am most interested in a: Male Female Either
Interested in showing this dog in conformation or obedience/agility? Please explain.
I am interested in (Check all that apply!):
pet a show dog
Do you have any concerns or questions about the breed?
How long are you willing to wait for a Maltese? 6 Months 9 Months More than 9 months
Yes, I am aware that CeeAnjel reserves the right to refuse to provide a puppy to any applicant for any reason.
Tell us how to get in touch with you:
