This on-line application form is intended to indicate your interest in purchasing a Biewer. This is only the first step in adopting one of our beautiful furry friends.

Name: *
Street Address *
Street Address (2):
City *
State, Zip Code *
E-Mail *
Main Phone Number (eg. Home) *
Secondary Phone
Preferred Method of Communication (Phone or E-mail) *
Best Times To Call
Web Addresss
Describe Your Yard--Type of Fencing is Important *
Pets: List type, breed, and if spayed or neutered *
Sex of Puppy Desired: Male, Female, Both, Either
Do you wish to show the dog in the future? *	Yes No
Do you wish to breed the dog in the future? *	Yes No
What is the name of the new owner (one name only) *
Ages of Children Living With You *
Why do you want a Biewer? *
How did you hear about The House of Wagging Tails.
Any Additional Comments or Questions