Puppy Application

Midwest Chihuahuas About Us Breeding Schedule Rufus Mason Rajesh Stud Services Waiting List Dairy Dairy Nursery Jezebel Jezebel Nursery Lalita *Mitzi* *Mitzi Nursery* MooMoo MooMoo Nursery Oksana Oksana Nursery Satinka Satinka Nursery Zoya Adults for Adoption Other Chi Puppies Previous Puppies Previous Puppies II Buyer FAQ 2010 Puppy Names Puppy Application Purchase Contract Lifetime Guarantee Discounts Shipping Options Puppy Pack Recommendations Male vs Female Chihuahua Growth & Weight Chart Litter Box Training FAQ's Chi Ears Teacups? Molera Information  Hypoglycemia Shedding in Chihuahuas Brucellosis FAQ Toxic Foods Toxic Plants Interceptor Warning Dog Astrology Guest Book Delivery Blog The Fine Print Contact 



Prospective Puppy Buyers Application
Midwest Chihuahuas
Toledo, Ohio
Patricia Duffer, Owner/Operator
Website:

**Please note that a puppy application must be on file and approved prior to acceptance on any Midwest Chihuahuas waiting list and prior to any deposits or payments will be accepted.  Midwest Chihuahuas puppies, particularly in the merle, brindle and blue colors find homes particularly fast.  If you are interested in any of these colors, please do not delay in submitting your application so that you may be placed on the waiting list of your choice or be allowed to put a deposit on an available puppy to hold until age appropriate to leave.**

This application should be filled out in it's entirety.  We ask each prospective family to answer all questions openly and honestly so that we can offer the best help in attaining the puppy of your dreams.

Copy and Paste Application into email document and email to:

PuppyApp@midwestchihuahuas.com

*First & Last Names of Prospective family:________________________

*Complete Mailing Address (Including ZipCode, NO PO.Boxes Please):

_____________________________________________________________

*Telephone Number:________________________________________

*Email Address:____________________________________________

*How did you find Midwest Chihuahuas? (Friend, Website, Search Engine)

_____________________________________________________________

Midwest Chihuahuas ask that you read the Buyer FAQ page prior to completing this application.  Also, discounts and payment plans are available for review on the Discounts page.

*Are you applying for a discount and if yes, which one? _______________

*Is this your first Chihuahua?  If no, how many do you own? Please describe.

_________________________________________________________

*What pets do you currently own? List all animals in your residence full or part time:_________________________________________________

(*Failure to disclose pets you own will remove you from consideration by Midwest Chihuahuas)

*Are all pets listed altered? If no, please state reason:_______________

(*If this answer is contradicted by your vet your application will be rejected)

*Who lives in your household?  Please list all family members including children that may be shared custody and in your home part time. Please include age/relationship of all people in your home:__________________

________________________________________________________

*Do you own or rent your home?________________________________

(*If you rent, know that we may require proof from your landlord showing you would be permitted to have your Chihuahua as a resident of the property.)

*Do you have a preference to the sex of your puppy?________________

*Do you have a preference to coat length (long/short)? _______________

*Do you have preference as to color?____________________________

*What size Chihuahua are you looking for and why? (Chihuahuas range from 2 to 7 pounds mature):______________________________________

*Are you considering breeding the Chihuahua from us?_______________

*If yes, please explain in detail about your breeding program and include website link if applicable:____________________________________

*Will you agree, in advance, to allow us to contact your vet about your other animals and history?________________________________________

*Vet information may be entered here to expedite your application!

*Finally, tell us about you!  How you came to Midwest Chihuahuas, what you are looking for, what you hope to find here and any information that you feel will help us when considering your application. *REQUIRED*:__________

______________________________________________________________

______________________________________________________________

I understand that by signing this contract I am neither guaranteed a puppy or space on a waiting list.  I understand my application will be approved and I will be contacted as to the result or if more questions occur.

If approved I understand I may then choose from available puppies (if applicable), go on a waiting list or consider an adult placement (if available).

Signature:___________________________________________________

Date:_________________________

Thank you for considering a Midwest Chihuahuas Puppy!

We will be in touch with you as soon as possible!

Patricia & Dennis Duffer, Jr.