I / We prefer the following:
Oorang Airedale Terrier   Standard Airedale Terrier
Male   Female
Pet Quality         Show Quality 

Name:

Address:

Phone:

Fax:

E-mail:

Do you have any other dogs or pets?
Yes  No
If yes, please describe

Do you have any children?
Yes  No
If yes, what are their ages?

Do you have a fenced-in yard or fenced area?
Yes  No
Will your puppy live inside with you?
Yes  No
Will your puppy be a part of the family?
Yes  No
Are all family members in agreement about your decision to acquire a puppy?
Yes  No
Have you ever taken a dog to an animal shelter?
Yes  No
How much time would you be able to spend with your puppy each day?

Please take a moment to tell us a little about yourself 
and your plans for the puppy.

Additional Comments:


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