Prospective Buyer Name & Phone Number:
Your Name(Required):
Your Home Phone(Required):
Your Cell (optional):

1. Why did you choose the Mi-Ki breed?

2. Would you prefer a male or a female?

3. What color do you prefer, if any?

4. What size range?

5. Do you own a Mi-Ki already? What registry is it registered with?

6. How many pets do you currently have ( Please Specify )?

7. Do you have children, ages?

8. Do you work during the day?

9. If you answered yes, will someone be home with your puppy
if you are at work for more than 5 hours a day?

10. Where will your puppy live during the day and sleep at night?

11. Do you have a fenced yard?

12. Do you prefer a PET or Breeding Prospect?

13. If a Breeding Prospect please share with us of your breeding experience/knowledge?


YOU'RE ALMOST DONE!

In Order To Become An Approved Buyer And To Further Secure That Our Puppies Are Going
To Only "Forever Homes". We Ask That You Supply 2 References Of Non- Family Members.

Note: If You Already Have Pets Please Add Your Veterinarian As One Of Your Contacts.

References:
1. Veterinarian Name:
Veterinarian Address:
Veterinarian Phone:

2. Reference Name:
Reference Phone:

3.Reference Name:
Reference Phone: