Personal Information
Name (first and last)
Email address
Phone number(s)
Street Address
City
State and ZIP code	Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Employment
Your occupation
Your spouse's occupation
Other Pets
Please list type of pet, age, sex, and indicate spayed/neutered as necessary.
What happened to the last two pets you had?  (Died of what, turned back to breeder, gave away, etc.)
Household Information
Do you intend for this puppy to be a housedog or an outside dog?
Children (Please provide the age of each child currently living in your home)
How would you describe your family's life style?
What type of temperament would best suit your family and why?
Do you own or rent your home?	- Select One - Own Rent
If you rent, are you allowed to have large breed dogs?	- Select One - Yes No
If you rent, do you understand that you will be required to provide a copy of your lease and a letter from your landlord?	- Select One - Yes No
Please describe your yard.
Do you have or plan on having a fenced in yard?	- Select One - Yes No Planning
Do all family members work outside the home?	- Select One - Yes No
Would the dog be left alone for 40 hours or more a week?	- Select One - Yes No
Where will the dog be when he (she) is alone?
Where will the dog sleep at night?
Will the dog be allowed in every room of your house?	- Select One - Yes No
If no, what rooms are off limits?
How important is a neat house to you?	- Select One - Very Important Moderately Important Somewhat Important Not Important
Your plans for your puppy
I am interested in a:	- Select One - Male Female Either
Do you want to show this dog?	- Select One - No Yes
Do you have a color preference?	- Select One - Fawn Apricot Fawn Brindle Apricot Brindle No Preference
Are you interested in...? (Please select all that apply by holding down CNTL and clicking on selections.)	Pet only Showing in Conformation Breeding Competing in Obedience Therapy Visits Competing in Agility
What characteristics in a dog are you looking for most?
Do you plan on taking your dog through obedience classes?	- Select One - Yes No
General Questions
Have you ever owned a Mastiff before?	- Select One - Yes No
Have you ever owned other dogs before?	- Select One - Yes No
Why have you chosen the Mastiff?
What do you like best about Mastiffs?
What do you like least about Mastiffs?
Have you done any research on Mastiffs?	- Select One - Yes No
How did you find out about us?
Vet's Name, address, and Phone
3 References: Name, address, and Phone

if your application is approved, a copy of your current driver's license will be required prior to signing any contracts

Home visit is necessary if we don't know you.

If you have any questions about our Mastiffs or Mastiffs in general don't hesitate to contact us. We aren't trying to be invasive we just want to make sure we are providing you with the best puppy for your family. Thank you for your interest!
Judi and Doug Mott