ÿþ<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <html><head> <meta http-equiv="Content-Type" content="text/html; charset=unicode"><form action="/gdform.php" method="post"> <form action="/gdform.php" method="post"> <input type="hidden" name="subject" value="Puppy Application" > <input type="hidden" name="redirect" value="index.htm" > <meta content="MSHTML 6.00.2900.5726" name="GENERATOR"></head> <body onload="loadMenu();" onresize="loadMenu();"> <p align="center"><b><i><span style="FONT-SIZE: 20pt; FONT-FAMILY: Georgia"> Puppy Application <p align="center"><b><i><span style="FONT-SIZE: 15pt; FONT-FAMILY: Georgia"><font size="2"> All information given is confidential and will not be given out</font> <p> <p> </span></i></b></span> <b><i> <p><span style="FONT-SIZE: 20pt; FONT-FAMILY: Georgia"><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> Your name &amp; address:</span><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"><o:p></o:p></span></i></p> <p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"><textarea name="A-name_address" rows="5" cols="43"></textarea></span></i></b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"><o:p></o:p></span></i></p> </span> </i></b></b> <b><i></span> <span style="FONT-SIZE: 20pt; FONT-FAMILY: Georgia"> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia">Your phone number: <input name="B-phone" ></span><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"><o:p></o:p></span></i></p> </span> <b></c></span> <span style="FONT-SIZE: 20pt; FONT-FAMILY: Georgia"> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia">Your e-mail address: <input name="C-email" ></span><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"><o:p></o:p></span></i></p> </span> </span> <span style="FONT-SIZE: 20pt; FONT-FAMILY: Georgia"> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia">Why do you want a boxer? <br><textarea name="D-why_boxers" rows="5" cols="47"></textarea></span><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"><o:p></o:p></span></i></p> </span> </span> <span style="FONT-SIZE: 20pt; FONT-FAMILY: Georgia"> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia">What is your gender preference?</span><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> </span></i></p> <p><select size="1" name="E-Gender"> <option value="Male">Male</option> <option value="Female">Female</option> <option selected value="No preference">No preference</option> </select></p> </span> </f></span> <span style="FONT-SIZE: 20pt; FONT-FAMILY: Georgia"> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia">What is your color preference?</span></p> <p> <select size="1" name="F-Color"> <option selected value="No Preference">No Preference</option> <option value="Fawn">Fawn</option> <option value="Flashy Fawn">Flashy Fawn</option> <option value="Brindle">Brindle</option> <option value="Flashy Brindle">Flashy Brindle</option> <option value="Sealed Reverse Brindle">Sealed Reverse Brindle</option> <option value="Flashy Sealed Reverse Brindle">Flashy Sealed Reverse Brindle </option> <option value="White">White</option> </select><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia">(Please read the section regarding white boxers)</span><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <o:p></o:p></span></i></p> </span> <p> <span style="FONT-SIZE: 20pt; FONT-FAMILY: Georgia"> </span> <span style="FONT-FAMILY: Georgia"> <font size="2">How long are you willing to wait?</font></span></p> <span style="FONT-SIZE: 20pt; FONT-FAMILY: Georgia"> <p><select size="1" name="G-Timeframe"> <option value="1-3 Months" selected>1-3 Months</option> <option value="3-6 Months">3-6 Months</option> <option value="1 year or less">1 year or less</option> <option value="However long it takes">However long it takes</option> </select></p> </span> <span style="FONT-SIZE: 20pt; FONT-FAMILY: Georgia"> </span> </h><span style="FONT-FAMILY: Georgia"> <font size="2">How do you plan to get your new puppy?</font></p></span> </b> </i> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <p> &nbsp;<!--webbot bot="Validation" s-display-name="Shipping" b-value-required="TRUE" b-disallow-first-item="TRUE" --><select size="1" name="H-Shipping"> <option selected value="Shipping">Shipping</option> <option value="Pick-up">Pick-up</option> </select> </p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> If shipping is required what is your nearest airport?</p> <p><textarea rows="2" name="I-S2" cols="20"></textarea></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> Have you owned purebred dogs before?<i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i></p><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i> <p><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <b><input type="checkbox" name="J-experience1" value="yes">Yes</b></span></i></p> <p><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <b><input type="checkbox" name="experience" value="no">No</b> <o:p></o:p></span></i></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> What breed or breed&#39;s: <input size="39" name="K-breeds" ><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"><o:p></o:p></span></i></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> What happened to them? Please give a brief pet owning history below: <br><textarea name="L-history" rows="6" cols="43"></textarea><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"><o:p></o:p></span></i></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> Do you have a veterinarian?&nbsp;</p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i></b> <p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <input type="checkbox" name="M-vet1" value="yes">Yes</span></i></b></p> <p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i></b><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <input type="checkbox" name="vet" value="no">No <o:p></o:p></span></i></b></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> Veterinarian&#39;s name, phone number and date of last visit: <br><textarea name="N-vet ref" rows="5" cols="46"></textarea><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"><o:p></o:p></span></i></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> Do you have children?&nbsp;</p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i></b> <p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <input type="checkbox" name="O-kids1" value="yes">Yes</span></i></b></p> <p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i></b><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <input type="checkbox" name="kids" value="No">No <o:p></o:p></span></i></b></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> Please give their ages and a brief history of their dog experiences below:<br><textarea name="P-ages" cols="47"></textarea><o:p></o:p></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> Since a boxer is to become a full member of the family, are all members in agreement with the purchase and will each provide proper care?&nbsp;<b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i></b></p> <p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <input type="checkbox" name="Q-care1" value="yes">Yes</span></i></b></p> <p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i></b><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <input type="checkbox" name="care" value="no">No <o:p></o:p></span></i></b></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> Will you agree to spay or neuter your pet?</p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i></b> <p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <input type="checkbox" name="R-neuter1" value="yes">Yes</span></i></b></p> <p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i></b><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <input type="checkbox" name="neuter" value="no">No--explain below:<br><textarea name="S1" rows="3" cols="43"></textarea><o:p></o:p></span></i></b></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> Do you have a fenced yard?</p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i></b> <p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <input type="checkbox" name="S-fence1" value="yes">Yes</span></i></b></p> <p><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"></span></i></b><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> <input type="checkbox" name="fence" value="no">No <o:p></o:p></span></i></b></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> Where will your dog spend most of his day?&nbsp;</p> <p> <select size="1" name="T-Time Spent"> <option value="In the house" selected>In the house</option> <option value="Crated">Crated</option> <option value="Kennel Run outdoors">Kennel Run outdoors</option> </select></p> </span> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"><input type="checkbox" name="U-day" value="other">Other--explain below:<br><textarea name="other" rows="5" cols="47"></textarea><o:p></o:p></p> </span> <span style="FONT-FAMILY: Georgia"> <p></span><span class="SpellE"><span class="spelle"> <span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia">Additional</span></span></span><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"><b><i><span style="FONT-SIZE: 10pt; FONT-FAMILY: Georgia"> Information or Comments: <br><textarea name="V-Additonal Information" rows="10" cols="50"></textarea><o:p></o:p></span></i></b></p> <p class="MsoNormal" align="center" style="MARGIN-LEFT: 0.5in; TEXT-ALIGN: center; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><b><span style="COLOR: black; FONT-FAMILY: Georgia"><o:p></o:p></span></b></p> <input type="submit" name="submit" value="submit"/><form action="/gdform.php" method="post"></form></span></b></i> </body></html>