What sex would you prefer ?
Choice  of color
Have you owned a Miniature Pinscher before ?
Do you own any other pets ?
If , Yes  describe what kind's - breed ect.
If, No put ..N/A in the box, please.
Is this dog to be a pet / or for breedings ?
Are you willing to sign a SPAY/NEUTER contract ?
Do you have any children, If YES give sex and age of children
Do you own your home ?
Do you have a fenced in yard and in good repair ?
Where will you keep the dog while you are on vacation?
Where are you planning on keeping the dog when you are away from home at work or out on errands?
Email Address ,please
Are you willing to have your MinPin shipped to you, at your expense?
Please list anything that you can think of that will help us to determine the type of MinPin that would best suit you and your lifestyle:

Do you have a size preference ?
If, Yes please give choice.
Standard is 10in to 12 1/2in.
Name ,please..
Street Address.
Thank you for taking the time to fill out this questionnaire!
Are you perpaired for the expense of a new family member?
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THIS WILL GIVE ME A BETTER IDEA OF WHAT YOU ARE LOOKING FOR
IF I DON'T HAVE WHAT YOU WANT, I MAY KNOW A BREEDER WHO DOES .
Did you remember your email address?
I can't reply without it.
City
State.
Zip code.
Home phone number with area code
If you rent, do you have permission from your landlord to have a dog ?
Are you willing to give dog back to breeder if unable to keep ?
Are you willing to be put on a waiting list?
Are you at least 18 years old / or older?
How long at current address?
Second Choice  of color
What a price range do you have in mind ?
YES
NO
YES
NO
PET Only
breeding
YES
NO
Own
Rent
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
Yes
No
Yes,Iam
No
Yes
No
YES
NO