Online Puppy/Dog Application Form We commonly have a couple of litters planned each autumn, winter, and spring. Please feel free to contact us at any time regarding the availability of Rat Terrier puppies or young adults. To assist us, we ask that you complete our application form below. It is of the utmost importance to us that our beloved Rat Terriers are placed in appropriately matched and well prepared homes. We greatly appreciate your cooperation! We hope you understand that we have the best interests of our Rat Terriers AND our potential buyers at heart in requesting this initial information. Thank you! Name: Address: City: State: Zip: Phone: E-mail: Most folks initially locate us by surfing Dogs Central. Please share with us how you FIRST found us: Dog Fancy Magazine Dog World Magazine Referal from someone I'm a Repeat Buyer Search Engine Breeders.net Listing Other If you've found us through a search engine or another web site or a friend, please supply a brief note here indicating who we should thank. Search Engine used: Web site referral from : Other: Preferred Gender of Puppy/Dog: Male Female No Preference Preferred Size of Puppy/Dog: Miniature Standard No Preference Are you interested in: A Rat Terrier Puppy? A Young Adult Rat Terrier? No Preference Have you adopted an adult dog before? Yes No If “Yes”, please briefly relate your experience from adoption to present day: (Re: Adjustment period, housetraining, any problems, present day, anything you care to share. . .) Have you adopted a puppy before? Yes No If “Yes”, please briefly relate your experience from adoption to present day: (Re: Adjustment period, housetraining, any problems, present day, anything you care to share. . .) Please briefly relate the living environment that you have prepared for a new puppy/dog: (Re: Primary caregiver [must be an adult], housetraining plans/experience, amount of time available daily, indoor/outdoor accommodations, other pets, children, etc.) Are all members of the household in agreement to acquire a new puppy/dog at this time? Yes No Have you ever relinquished a pet to an animal shelter before? Yes No   Which of the following statements best describes your plans for the puppy/dog that you are seeking? (Required - Please select one of the below options)   The life of a PET ONLY - I will spay or neuter. An Agility, Obedience, Hunting and/or other Working role. A Breeding/Showing Prospect role - I am a Professional Breeder/Conformation Shower. A Breeding/Showing Prospect role - I am a Fledgling Professional Breeder/Conformation Shower. UNLESS OTHERWISE MUTUALLY PRE-ARRANGED IN WRITING - A Spay/Neuter Contract applies to ALL puppies/dogs that are not sold as Breeding/Showing Prospects, and the puppy's/dog's registration papers will be promptly provided to the buyer after written proof of spaying/neutering has been received by us. If you are a Professional Breeder/Conformation Shower, please provide the following:  Kennel Name: Breed(s) Owned: Total Number of Dogs Presently Owned: Average Number of Litters Produced Each Year: Breeding Policies/Breeding Goals: Description of Kennel Accomodations: In order to be considered as such, all Fledgling Professional Breeders/Conformation Showers must provide the above information as well as verification that they have a current basic knowledge of the breed standard, the breeders' code of ethics, known breed-related health issues and canine reproduction. They must also give proof of possessing (or at least being in the process of creating) their breeding program's own written policies and procedures, bill of sale, spay/neuter contract, and health guarantee.  Thank you! Questions/Comments: Please press once only! Note: If you do not receive a timely e-mail response to this form, e-mail chucha@windstream.net   or call (912) 654-1201 to report technical difficulties and for prompt service. Thankyou!