Welcome to
Black Rock Labradors
Potential Puppy - Client Information
Thank You for your interest in Black Rock Labradors.
After completing the form (copy & paste) then send to BRlabslitters@aol.com
The information that you provide will assist us in selecting the puppy most suited for you and your family.
All information provided will remain CONFIDENTIAL with the owners of Black Rock Labradors.
Push down the left mouse button and scroll to the bottom of the page, until all below is highlighted, then push down the right mouse button, then select copy, then once you start the text area of your e-mail to us then hit your right mouse button again and select paste to transfer all the puppy application questions in your e-mail.
Be sure to complete all the questions.
-----------------COPY and PASTE below ----------------------------------------------------------------
1. Your name:
2. Your mailing address:
3. City:
4. State:
5. Zip code:
6. Your e-mail:
7. Home telephone and/or cell phone:
8. Work telephone:
9. Most convenient time to reach you:
10.What time frame are you wanting a puppy?
11. Were you referred by another breeder, if so who:
12. Do you have any children, if so how many and ages:
13. Does anyone in your family have allergies to animals:
14. Where do you currently live, country or city, if city any acreage:
15. Is your property fenced in:
16. If no fenced in yard, how do you plan to contain your Lab:
17. Does anyone stay at home or do you work during the day:
18. Where would you keep the puppy during the day and night:
19. Have you ever owned any dogs before and if so what kind:
20. Have you ever owned a Labrador Retriever, if so what type and for what purpose:
21. What other pets do you own that would be sharing your home or property with your Lab:
22a.. Describe your occupation, lifestyle and your hobbies:
22b. If you are a runner, at what age do you plan on jogging/running with your puppy?):
23. What will you be using your Lab for (Companion, show, obedience, therapy/service, agility, hunting, breeding, drug detection):
24. If interested in a puppy for AKC conformation, hunt test or obedience, please describe your experiences & any AKC titles you have acquired on your breed:
25. What color (Black, Yellow or Chocolate) & sex (Male or Female) do you prefer - See below:
26. 1st choice (sex & color):
27. 2nd Choice (sex & color):
28. We (Black Rock Labradors) no longer ship/fly puppies.
How do you plan to pick up your puppy?: Drive to our residence from your home or fly into the Indianapolis Airport and then drive to our residence to pick up your puppy and fly back home:
29. If Black Rock Labradors DO NOT have any puppies in the color or sex that you have requested, can (We - Black Rock Labradors) forward your application to another Labrador Retriever breeder that may be able to help you find a puppy.
Yes_____ or No______?
Summary:
Why do you feel you would be able to provide the perfect home for a Black Rock Lab pup:
E-mail form to: BRlabslitters@aol.com
After review of your application and being approved, Dale Brummett will contact you and ask for a deposit to be sent, to secure a puppy. I ask that your payment be sent "secure and confidentially" though PayPal . PayPal makes it easy to send your payment to Black Rock Labs - Dale Brummett (mylabsdad@aol.com) from your PayPal account. Send Money - Pay Pal
PayPal is the safer, easier way to pay and get paid online. The service allows anyone to pay in any way they prefer, including through credit cards, bank accounts, buyer credit or account balances, without sharing financial information.
PayPal has quickly become a global leader in online payment solutions with more than 164 million accounts worldwide. Available in 190 markets and 17 currencies around the world, PayPal enables global ecommerce by making payments possible across different locations, currencies, and languages.
PayPal has received more than 20 awards for excellence from the internet industry and the business community -most recently the 2006 Webby Award for Best Financial Services Site and the 2006 Webby People's Voice Award for Best Financial Services Site.
Located in San Jose, California, PayPal was founded in 1998 and was acquired by eBay in 2002.
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Thank You for completing our application process.
Completion of the puppy client information form does not guarantee a future puppy.
Dale Brummett
Home: BRlabs
Updated 4/6/08 at 8:30 p.m.