Waiting List

1

Full Name* This field is required.

First Name

Last Name

2

E-mail* This field is required.

3

Phone* This field is required.

4

City, State, Country* This field is required.

5

What variety/size of poodle do you wish to get?* This field is required.

Toy Poodle

6

What are you looking for in a poodle?* This field is required.

Companionship

Other: (Explain)

7

Do you prefer a male or a female?* This field is required.

Male

Female

Either

8

Are you interested in a puppy or an adult?* This field is required.

Puppy

Adult

Either

9

How many lbs. full grown?

10

What color of poodle do you wish?* This field is required.

Silver

Blue

White

11

What is your preferred timing for getting a puppy?* This field is required.

Now

Within 3 months

Within 6 months

Within 12 months

12

Message

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