1.Full Name:
2.City, State:
3.Age:
4a.Work Phone:
4b.Home Phone:
5.E-mail Address:
6.Children's Ages:
7.Have You Ever Bred Animals?
8.Do You Live In A
9.Have You Ever Owned A Pug?
10.Have You Owned Any Other Breed Of Dog?
11.Do You Have A Yard?
12.Are you willing to give a life long commitment to giving this new addition not only love but the best care that he/she will require as to maintaining a good health program through a licensed vet, a nutritionally balance food diet, exercise, and grooming when required?
13.Why do you want to own a Pug? Are you willing to be patient in getting the right puppy for your family?
14. Are you currently on a waiting list with another breeder? If so, who and how long have you been on their list?
15.What color are you interested in?
16.Additional Comments & Questions:
Please remember, that we do not ship our puppies! You would have to travel and pick up your puppy in Michigan.
Questions? Please feel free to email us at: