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Heartland Border Terrier Companion-Puppy Questionnaire

Your Name(s):

Street Address:

City, State, Zip:

Email address. Please be careful to enter it correctly so we can respond to your request.

Phone number where you can be reached.

Prefer evenings or days, or does not matter?

Are there other adults in your household?

Are there children in your household? If so, please list their ages.
Have you owned a Border Terrier before? If so, please tell us about your Border Terrier(s).

Tell us why you have decided that the Border Terrier is the best breed for you.

How many hours a day will this puppy be alone? Please explain below.

What pets are currently living in your household?

Where will your puppy be living? Please mark all that apply.
With us indoors   Outside in kennel   Fenced in yard   Outside in Country Setting
Who will be responsible for training your puppy?

What are your plans for house training your puppy?

Will you be taking this puppy to training classes? Obedience training? Other activities?

Are you interested in showing this puppy in dog show events? Please explain below.

How do you plan on filling your puppy's needs for exercise. Check all that apply.
    Fenced yard
    Home in country setting
    Jogging partner
    Large fields near by
    Leash walking
    Ball playing
Other exercise you would like to mention enter below.

Are you a breeder? Yes No
Are you planning to spay/neuter this pet? Yes No
Would you prefer a male or female puppy? Male Female No preference

Please enter below any temperment preferences you have for your puppy.

Would you like me to email you information about upcoming litters? Yes No
Are you interested in a well trained adult Border Terrier? Yes No

If someone recommended you to us, please enter their name and phone number below.


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