Please help us to know you and your family so we can place the best suited puppy/kitten into your household. All the information is private and confidential.

Name *
E-mail Address *
Telephone# *
Address *
City? *
State/Province? *
Country? *
Do you live in a? *
Do you Own, Rent or Live with Parents?
If you Rent, does your lease allow you to have Pets?
Do you have a Fenced Yard or Enclosed Balcony?
Are you looking for a Bengal or a Portuguese Water Dog *
Are you looking for a Pet/Breeder/Show *
Are you interested in doing any of the following? *
Do you understand that a puppy/kitten sold as a Pet will be sold on a Non-Breeding Contract? *
Do you have a preference for Male or Female?
What Colour Bengal are you looking for?
What colour Portie are you looking for?
How did you hear about us?
Tell Us About Your Household
What age are the Children in the Household? *
Number of Pets in the Household? *
Why do you feel a Bengal/Portuguese Water Dog is a good choice for your Household? How much research have you done on the particular breed of dog/cat? *

* Fields marked with an asterisk are required fields

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Thanks for taking the time to answer our questionnaire. Please ensure all questions have been answered before sending the questionnaire. We look forward to hearing from you soon. Stock Photos, Royalty Free Stock Photography, Photo Search Shop for the Perfect Gift

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