Today's Date

Your City and State

Nearest Major City

The sex of puppy you prefer Male Female

Intent purpose for this puppy/dog (Companion, Breeding, Show)

Have you ever owned a Rottweiler before? Yes No

What other breeds have you owned?

What breeds do you presently own?

How many animals do you currently own?

How far will you travel to pick up your pup?

Are you considering having your pup shipped? Yes No

Living Accomodations? House Apt  Condo

Do you have a fenced in back yard? Yes No

Number of children, sexes and ages?

Number of hours a day your pup will be alone?