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December 2006:
"Alex" - CH Pioneers Journey To Remember, RN CGC wins "Best of Opposite Sex" at the AKC/Eukanuba National Championships.

Puppy Questionnaire

Please complete the following questionnaire to the best of your ability. This questionnaire is a simple way for me to get to know you and to better suit the right puppy with its new prospective owners. References will not be contacted for any reason until after we have personally spoken about the possibility of your purchasing one of my puppies.

* indicates required

CONTACT INFORMATION:
* It is important that you provide the correct email and phone number, as incorrect information can not be replied to.

* Email Address:

* First and Last Name:

* Full Address:

* Other (Human) Household Members
(if none, enter none):

* Evening Phone Number:

OTHER INFORMATION:

1) Have you ever owned an Australian Cattle Dog?
yes no

2) What made you decide to purchase an Australian Cattle Dog?

3) Do you prefer a male or female?

4) Do you have a color preference?

Comments on color preference:

5) Do you plan on participating in any of the following activities with your ACD? (check all that apply)

conformation	herding	agility
obedience	tracking	flyball
family pet	breeding	therapy

other, please specify:

6) If you are not planning on breeding or showing, would you be willing to have your ACD spayed or neutered?
yes no

7) Do you currently own any other dogs?
no yes
If yes, please list them below along with breed, age, sex and spay/neuter status:

8) Do you currently own any other animals (non-canine)?
no yes
If yes, please list below:

9) If you currently do not own any dogs, please tell me about your past exposure to dogs and ownership?

10) Do you have children?
no yes
If yes, please list their ages below and give me a brief idea of their exposure to dogs:

11) What are your plans for housing and exercising your ACD?

12) Do you have a fenced yard?
yes no
Please describe dogs exercise area:

13) On average, what do you plan to spend per year on food, veterinary care, etc. for your ACD?

14) How much do you expect to pay for an ACD puppy?

15) Have you spoken with any other ACD breeders?
no yes
If yes, please list them:

16) Are you currently on a waiting list for any other litters?
yes no

17) What are your plans for transporting this puppy to you?

18) Were you referred to me by anybody in particular?
no yes
If yes, please explain:

19) How did you hear about Pioneer Australian Cattle Dogs?

20) Do you own or rent your home?

21) Where do you live?

REFERENCES:
* Please list 3 references (Veterinarian, friends who are active in dogs). Note their relationship to you in the text box with their contact information and include a phone number and email address (if possible) for each reference.

Reference 1:

Reference 2:

Reference 3:

* Enter the code as it is shown to the right

This field ensures you are human and not a spam bot.

Once you click on the Submit Form button, you will be re-directed to the Home page.

Thank you for your time to complete and submit this information sheet. I will contact you as soon as I have an opportunity to review your information. Please do not hesitate to contact me at: (541) 582-2475 or by email at