• First Name:   *   • Last Name:   *

• Email:   *

• Home Phone:  *   • Cell Phone:  

• City:   *   • State:   *

• Country:   *

• Have you Ever Owned A German Shepherd before?   Yes No

• Do you Own a German Shepherd now?  Yes No Male  Female 

      • If yes, how many German Shepherds do you own now?  

• Are you a Hobby or Licensed Professional Breeder? Hobby Licensed

• Are you interested in breeding this canine? Yes No

• Do you want a Family Companion? Yes No

• Are you interested in a Male  Female  Open ?

• Preferred Color : Black Blk. & Tan Blk. & Red  Blk. & Cream 
Sable Open

• Do you want a   Puppy  Young Adult  Pre Trained K-9

• What type of canine are you looking for?

• What Type of Temperament/Drive are you looking for?
Medium  Med/High  High 

• Are you Interested in Training? Yes No

• Are you a Retired or Working Law Enforcement Officer? Yes No

• Are you Military Personnel? Yes No

• Are you Ready to Buy  Just Looking  ?

• When will you be ready to take home your K-9?   (mm/dd/yy)

• Why do you want a K-9 that is genetically bred for temperament, beauty, intelligence, size, and long lasting health?