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Instructions

Please fill out the form below, and click the SUBMIT button at the bottom of the screen to send us your request.
Your Name: *
Street Address: *
City: *
State: *
Country:*
Zip Code: *
Phone (Home): *
Phone (Work): *
Phone (Cell): *
E-mail: *
Good time to call if we need to reach you:: *
How did you hear about Vom Vollenhaus Rottweilers?:*
What age Puppy or Dog are you interested in obtaining?:*
What sex dog are you interested in obtaining?:*
List any conformation and/or working titles that your dogs have earned in the past.:*
What activities will you and your puppy/dog be involved in? (Check all that apply):*
Have you ever owned a Rottweiler?:*
If you answered "YES" to the above question how long have you owned your Rottweiler(s)?:*
Tell us about yourself, include occupation, family status, hobbies, etc.:*
Describe your idea of the "IDEAL" Rottweiler for you. Is there any quality you don't want in your puppy/dog?:*
Do you presently belong to any dog clubs? If so, list them:*
Do you have any children living in your home? If so, list their ages.:*
Do you currently have any pets? If so, please list the type of pet(s) and their ages.:*
Have you competely and thoroughly read and are you willing to comply with our Sales Policy and Contract?:*
All Show/Breeding prospects must be two years of age and have an OFA number before breeding is allowed. Are you willing to do prelim x-rays at 12 months and offical OFA x-rays at 24 months?:*
Your Age?: *
Where will the dog stay during the day and during the night?: *
What type of area do you live in?:*
Do you own or rent?:*
Do you live in a house or apartment?:
Where will the puppy/dog live?:*
Do you have a fenced in yard?:*
Have you checked into any breed/training clubs in your area?:*
From which of our female(s) are you interested in obtaining a puppy from?:
Have we spoken on the telephone? If so, what were the details of our conversation?:*



Please give us any additional information that might help us make our decision.:



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