First name:
Last name:
Email address:
Kennel Name
Address 1:
Address 2:
City:
State:
Zip code:
Phone:
Request information on Pugs
Puppies Adults Show prospects
Have you ever owned a dog?
Yes No
Have you ever owned a Pug?
Yes No
What made you want a Pug?
What sex Pug do you want?
Male Female No preference
What color do you want?
Black Fawn No Preference
Which of the following are of interest to you?
Showing & Conformation Obedience & Agility Companion Pug Pet Therapy
Have you ever shown a dog, cat or horse?
Yes No
If you have shown before, please give
details & the breed(s) you showed and where?
Have you ever been to a dog fight?
Yes No
What kind of training are you planning with your Pug?
Show & Conformation Agility & Obedience Guardian & attack Tracking & Hunting
Are you planning in breeding
your Pug? Yes
No
Maybe
Are you planning to spay or neuter your Pug?
Yes No Maybe
Would a $25 rebate help you decide on whether you spay
or neutered your Pug puppy?
Yes No Maybe
Are you willing to accept a "Limited AKC Registration"
on pet quality Pugs?
Yes No
If you are NOT willing to accept a "Limited
AKC Registration", please give details on why.
Do you currently own any dogs?
Yes No
If yes, please provide details on breed(s),
sex(s), how many and if they are neutered or spayed.
If you don't own a dog now, please
give details on past experiences with dogs,
Have you ever given up a dog or cat to a shelter or
returned it to the breeder
Yes No
If yes, please explain why.
Is your yard fenced?
Yes No Apartment
Do you have any children? if yes, please
tell me about them (names, ages and sex).
Are you aware that Pugs shed tons of hair year round?
Yes No
Do you or someone in your house have severe allergies?
Yes No
Who will be the primary caregiver for your new Pug
puppy?
How many hours will your Pug puppy or adult be left
alone?
Where will your new Pug puppy or adult
stay during the day when alone?
Where will your new Pug sleep?
My bed childs bed play pen crate or carrier bathroom
Do you object to your new Pug puppy or adult being
microchipped for identification?
Yes No
Are you willing to provide details about life with
your new Pug Puppy or adult and pictures of your Pug puppy or adult?
Yes No
How do you plan on paying for your new Pug Puppy or
adult?
Cash Check or money order Credit card or Paypal
How do you plan on getting your new Pug to your home?
Pick up Airplane shipment Ground Pet Taxie
If you live less than 300 miles from Holton, Kansas,
would you liked your Pug delivered to you by me for a fee instead of shipping by air?
Yes No
Shipping is available to major airports in the USA
from Kansas City International. Depending on the weight & size of the Pug being shipped, the cost is $250 to $350 which includes
an airline approved carrier, health exam & certificate, transportation to the airport & other miscellaneous fees. The shipping
cost is addition to the cost of the puppy or adult Pug & must be paid in full prior to shipping the puppy. Will you agree
to this extra cost?
Yes No Planning on pickup
Pugs & other flat faced breeds can't be shipped by
air in extremes of cold or hot weather. Are you willing to wait for your Pug to be shipped to you by air when weather permits?
Yes No
I have a waiting list, would you like to be added to
it if I don't have the Pug Puppy or adult your looking for?
Yes No
If your looking for an adult Pug, would you like me
to refer you to local Pug Rescue groups?
Yes No
Have you contacted other breeders about Pug Puppies?
Yes No
Are you on their waiting list? Yes
No
How did you learn about my Konza Pugs?
Dog Fancy Puppies USA Another breeder referral Referral by another Konza Pug owner Web surfing for Pugs www.PuppyFinder.com www.PugCentral.com Dog World Dogs, USA 2008 AKC Classified listing Other
Please provide your veternarian's
name, address and telephone number
How much are you expecting to pay for
a quality, healthy Pug Puppy? My Konza Pug Puppies start at $600 for Pet Quality puppies with limited AKC registrations.