Puppy Request Application

To find the ideal Puppy for you, please fill in the information below. All information will be kept confidential and used only by us. There is no obligation and it's FREE. Thank you for your cooperation.

Thank you for taking the time to fill out this application. If you see a pup that you want and are ready to purchase, please call us at (678)576-7132. Do not wait for our email reply seeing that we sometimes become so swamped that unfortunately the emails are the last to be returned. Thank You for your time and consideration.

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Champion Guarantee

*First Name
*Last Name
*Email
*Home Phone Number
How did you hear about us?
*What City are you located in?
*What State or Country?
*What is your occupation?
*What are your working hours?
*Is anyone home during the day?
*Are you looking for a young puppy or an older dog?
*Is your preference a male or a female?	MaleFemaleEither
*How soon do you plan to purchase your new friend?	Immediately1 month or moreUndecided
*What is your color preference?
*What is the most important reason for purchasing a Bulldog?
*Do you plan on keeping your new puppy inside or outside your home?	InsideOutside
*Is your yard completely fenced with secure fencing?	YesNo
*Where would the puppy or dog be housed during the day if no one is home?
*Any Additional Requests/ Info/ Requirements: