Thankyou for considering us for your new best friend!!

Please fill out the form below so we can help match you with your new pup.  

Harlequin Pinscher Puppy Inquiry

• Name *

• Phone *

• Email *

• Address *

• What is your Veterinarians name and phone number?  *

• May we call your vet? *

  ...YesNo

• Describe your occupation, lifestyle and your hobbies. *

• Where do you currently live? *

  ...City/AppartmentUrban AreaSuburb AreaRual/Country

• Do you have a fenced yard? *

  ...YesNo

• Do you have and children? *

  ...NoYes-ages 0-1Yes-ages 2-4Yes-ages 5-9Yes-Over 10

• Have you ever owned a puppy/dog before? *

  ...YesNo

• If yes, Please share what breed?

• Do you own any other pets? *

  ...YesNo

• If yes, please share what types?

• Are you a dog breeder? *

  ...YesNo

• Of all breeds to choose from. Why a Harlequin Pinscher? *

• Have you researched about the Harlequin Pinscher breed? *

  ...YesNo

• What time frame are you wanting a new puppy? *

  ...Immediatedly1 Month2-3 Months4-5 Months6 MonthsNext Year

• Are you looking for a male or female puppy? *

  ...MaleFemale

• What Color of a Harlequin Pinscher are you most interested in? *

  ...Black and Tan MerleBrown and Tan MerleRed Merle w/black noseRed merle w/brown noseBlue and Tan MerleFawn and Tan MerleBlack and Tan Merle/BrindleBrown and Tan Merle/BrindleBlue and Tan Merle/BrindleRed BrindleBlack and Tan BrindleBrown and Tan BrindleBlue and Tan Brindle

• What would be your second color choice of a Harlequin Pinscher? *

  ...Black and Tan MerleBrown and Tan MerleRed Merle w/black noseRed Merle w/brown noseBlue and Tan MerleFawn and Tan MerleBlack and Tan Merle/BrindleBrown and Tan Merle/BrindleRed BrindleBlack and Tan BrindleBrown and Tan BrindleBlue and Tan Brindle

• What size of an adult dog are you looking for? *

  ...Small-less than 5 lbsMedium-6-9 lbsLarge-over 10 lbs

• Where will your puppy spend most of the day? *

• Where would your puppy sleep at night? *

• Will your puppy be outside or inside when its grown? *

  ...InsideOutsideBoth Inside and Outside

• Will your puppy be desexed? *

  ...YesNo

• What Activities are you wanting to do with your dog? *

• Are there any questions you would like to ask about the Harlequin Pinscher breed? If yes, please Ask!

• Are you certain you are able to afford not only the purchase price of the puppy/dog, but the ongoing care and maintenance of him/her for the next 10 - 15 years? *

  ...YesNo

• How do you plan on receiving your puppy? *

  ...Personal PickupAirline TransportGround Shipping

• Would Your Prefer a Email or Phone Call in response to this inquiry? *

  ...EmailPhone Call

• If you prefer a phone call. What day of the week would be best to call?

  MondayTuesdayWensdayThursdayFridaySaturday

• What time of the day would be best to call?

  9am-11am3pm-5pm5pm-8pm

• Please Note:

  COMPLETION OF THIS PUPPY INQUIRY FORM DOES NOT GUARANTEE PLACEMENT OF A FUTURE PUP.