Date:
Your Name:
Spouse's Name:
Street Address:
City:
State: Zip:
Phones:
Home: Cell: Fax:
Number of Children:
Email Address:
Why did you decide to get a dog?:
Why a Doberman?:
About the Vet you will use :
Veterinarian Name:
City: State: Zip:
Phone:
Environment:
What type of fence or structure you you use to protect your dog. Choose all that apply.
House Dog:
Pen: Room to Roam:
What qualities Do you and Don't you desire in a dog?:
Your age preference :
Have you ever owned a Doberman?:
Do you want your dog to be spayed/neutered? :
if not, are you interested in breeding at a later date?:
Do you intend to obedience train your dog:
Would you most likely prefer a male or female:
Why?:
Are you interested in:

Herding? Tracking? Therapy? Obedience?

Watch Dog? Guard Dog? Showing?

Do you have any other animals :
If so, what kind and how many?
Reference #1:

Name:
Street Address:

City: State:
Zip: Phone:

Reference #2:

Name:
Street Address:

City: State:
Zip: Phone:

Your Comments if any:
How did you hear about Tephillot Dobermans?
(i.e. what friend, search engine, ad, etc.)
I represent that the above information is true to the best of my knowledge.  Furthermore, I recognize that the above information is given to induce owner to sell me a doberman.  Any misrepresentation is grounds for termination of contract.  I authorize Owner to make such investigation as he sees fit.

I have read the terms and conditions stated below and agree to all of these terms and conditions:

GENERAL TERMS AND CONDITIONS AND PERSONAL GUARANTEE

1.   The dog's new home will be comfortable, and he will be treated as a member of the family.

2.   Dog will be under control of the new Owner at all times.  He will not be allowed to roam the neighborhood unless he is on a leash.  He will not be permitted to raid neighborhood trashcans, chase cars, or get into other mischief.

3.   This dog is NOT a yard ornament.  He will NOT be placed within the confines of a fence and ignored, except when fed.  Bored dogs (like children) are a nuisance to their owner and the neighborhood in which they live, as they tend to bark for attention.  Highly intelligent dogs which become bored may also be destructive.

4.   Said dog will be vaccinated for rabies, distemper and parvo in accordance with AVMA recommendations.

5.   Said dog will be kept on heartworm preventative at all times.  He will also be kept free of fleas, ticks and other parasites.

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