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Please complete the questionnaire if you would like to reserve a puppy.

SOFT COATED WHEATEN TERRIER PUPPY PURCHASE QUESTIONNAIRE

Honeywheat Kennel-Breeder-Catherine Wesley 5434 4th Line, R.R. # 2 Hillsburgh Ontario Canada N0B 1Z0

Puppy Questionnaire

First Name*

Last Name*

Email Address*

Address

Home Phone

Work Phone

Preference of sex

Have you previously owned a Wheaten?

Home

Do you have a fenced yard?

If you do not have a fenced yard, how do you intend to exercise and contain this dog?

Do you currently have other pets?

Names and ages of Children

Are you planning on attending obedience classes with your puppy? If not, why?

You understand and agree that this dog is not to be used for breeding and must be spayed / neutered prior to 18 months of age?

The cost of a Wheaten puppy is $3800.00 in Canadian Dollars plus tax. All breeding stock has been OFA x-rayed, eye CERF, and blood & urine screened. There is a 18 Month health guarantee for congenital life threatening defects. *If you would like to reserve a puppy please complete and return this form with a $500.00 non-refundable deposit. PLEASE NOTE: DISCLAIMER UPON SUBMITTING YOUR DEPOSIT TO RESERVE A PUPPY YOU AGREE AND UNDERSTAND THAT IF YOU DECIDE TO CANCEL OR PURCHASE A PUPPY ELSEWHERE YOUR DEPOSIT WILL BE NON-REFUNDABLE. ALSO PLEASE NOTE THAT THE BREEDER ALSO RESERVES THE RIGHT TO CANCEL A SALE AND REFUND THE POTENTIAL OWNER IF NEEDED. Although we appreciate your preference of male/female puppy, we cannot guarantee you to receive your preference of sex. The breeder will select a puppy for you, which best suits your needs of you and your family. Please use box below for comments or questions

Have you previously owned another breed of dog?

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