ASunRay Havanese Puppy Application

Name *
Prefix
First *
Last *
Suffix
Home Address *
City *
State and Zip *
Telephone number *
Email *
Confirm *
Today's Date *

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DD
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Why did you choose the
Havanese breed?
What is your gender preference?
 male 
 female 
 no preference 
Do you plan to breed? *
 yes 
 no 
 maybe 
When are you wanting your Havanese?
Do you have other pets? Please describe.
If you have children, what are their ages.
Who will be the primary caregiver of your puppy?
Where will your puppy live and exercise? *
How many hours a day will your Havanese be home alone? *
Please check your activity goals for your puppy.
  Pet Companion  
 Therapy 
 Obedience 
 Conformation 
 Agility 
 Rally 
 Other 
Do you have a fenced yard? *
 yes 
 no 
Would you be willing to consider an older puppy or adult?
 yes 
 no 
 maybe 
Name and contact information for your vet
Information of two personal references
How did you hear about Asunray Havanese?
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