Applying for a Puppy

Application for a 221B Puppy

First name*

Last name*

Email*

Phone*

Multi-line address

Pays/Région*

Adresse*

Ville*

Code Postal*

How did you hear about us?*

Friends

Social Media

Other

What are you interested in?*

Companion/Pet

Herding/Sports

Conformation/Showing

Interested in which gender:*

Male

Female

What color are you hoping for:*

Red or Fawn

Red Headed Tricolor

Black Headed Tricolor

Sable

Have you ever been accused of or charged with animal abuse of any form?*

Do you serve in the US military or are you a US veteran?*

Do you understand that corgis take consistent training and education in order to make them into the dog you desire and decrease the likelihood of unwanted behaviors & you are willing to provide that to this puppy?*

Yes

Tell us about yourself, your expectations for your future puppy, your plan for training and educating your puppy, and anything else you'd like to share...*

I understand that the purchase price for an AKC limited registration 221B puppy is $2000 with a non-refundable holding fee of $750 that is applied back to the total price of the puppy. All of the information I have provided is true. Signature:*

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