Contact Us

Today’s Date

Your Full Name

Your Email

Street Address

Country

Mobile Phone

Which puppy are you interested in? Breed? Sex? Name(s)? Color?

What is your time frame for getting a puppy?

Please tell us about you / your family. Any kids, what ages, other pets, etc.?

Please tell us a bit about your puppy / dog experience?

Just to be sure – are all adults in agreement about getting a new puppy?
YesNo

Are you interested in Full Registration / Breeding Rights?
YesNo

Veterinarian’s Name & Phone Number

How did you hear about Hearthside Meadows? Was there a particular Internet site that you found us on?

Do you have any health issues that will make it difficult to have a new puppy in the house?
YesNo

If at any time, you are unable to care for the puppy / dog, you will return it to Hearthside, so we can find a suitable home for him or her. (No charge/ No refunds) Do you agree to this? If you have a good home for puppy / dog to go to, we still want to hear about where and who he or she is going to. Thank you.
YesNo

By submitting this confidential application you agree to the terms of our purchasing agreement.