Your Name(s) :

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Address / Location : 

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Phone #'s :

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Best days & times to call :

Just curious,  how were you referred to us ?  or   How did you find our web site ? 

What timing are you thinking ?   Now / ASAP                   Within A Year         More than a year from now

Please tell us your preferences in terms of gender, size, temperament, personality, etc.

Please describe the animals who currently reside in your home.   ( Breeds, Ages, Gender, Intact ? )

Tell us a bit about your family.  What are the ages and interests of the family members who will be residing with the dog and/or cat ?   

We ask for at least one reference.  We prefer it to be your Veterinarian.  If you can not provide a vet reference, please provide the name of someone who is familiar with your interest in animals.

Name :

Location :

Phone :

In what environment will you be living with your dog ?    PICK ONE Urban Suburban Rural  

Why are you interested in obtaining one of our Mals ?   ( Check as many as apply )

Where will the dog stay during the day ?  How many hours might he or she be left alone at a time ?   

What are your plans for outdoor space for your Malamute?   What size area will be securely fenced ?  

Where will the dog stay at night ?  What bedding or crating accommodations are you planning ?   

Further comments :  

Please feel free to add anything that you think would help us in choosing the right puppy for you.  The more

we know about you, the better able we are to determine which of our puppies would best suit your lifestyle.

Please review the form before submitting.  Make sure you have provided your NAME as that field is required.  Also, we will need either your email address or telephone number ( preferably both ) to follow up with you. 

  Unfortunately we are getting too much robotic spam.  Please check this box to confirm this form was filled out by a loving and caring human interested in a puppy dog.

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You should receive a confirmation email or a phone call from us within seven days.  

Thank you for your patience in waiting to hear back from us.