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                   Questionnaire for Prospective Puppy Owner
             Questionnaire is copyright of Masterpiece Chows
                This questionnaire is provided by :

First Name *

Last Name *

Address *

City *

State *

Zip code *

Country *

E-mail *

Phone # *

Tell us about yourself. Have you shown a dog? Bred a litter? *

Do you own chows now or have you before? *

Yes
No

If yes, how many and what sex? *

Do you have a fenced yard? *

Who will be the primary caregiver of the puppy? *

Your preference? *

Your interest? *

Your preference? *

Color Preference? *

Dilute Preference? *

Name of vetenarian? *

Feel free to add questions or comments.

We will contact you via e-mail. If this is a problelm let us know. *

Thanks for completing the questionnaire. We will be in touch with you.

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