| First Name |
FirstName |
| Last Name |
LastName |
| Address Line 1 |
Address1 |
| Address Line 2 |
Address2 |
| City |
City |
| State/Prov |
State |
| Zip/Postal |
ZipPostal |
| Telephone |
Telephone |
| E-Mail |
EMail |
| Best Time To Reach You |
Best_Time |
| Marital Status |
MStatus |
| Children |
Children |
| If "YES" what are their ages |
Child_Ages |
| Any Other Pets |
OtherPets |
| If "YES" what types, ages, and temperament |
PetsTypAgeTemp |
| Are They Spayed or Neutered |
SpayNeuter |
| If "Not All" which ones are not |
SpayNeuterDesc |
| Puppy Environment |
PuppyEnvironment |
| Own or Rent |
OwnorRent |
| Landlord OK |
RentOK_LL |
| Your Living Environment |
Environment |
| Fenced Yard |
FenceYard |
| Type of Fence |
FenceType |
| How many hours will puppy be left alone |
AloneHours |
| Have you owned a Great Dane before |
Gr8DaneB4 |
| What qualities do you like about the Great Dane breed |
Gr8DaneQual |
| Interest in purchasing Great Dane |
Reason1
Reason2
Reason3
Reason4
Reason5
Reason6 |
| If "Other" please explain |
WhyOther |
| Male or Female |
MorF |
| Color Preference Color 1 |
Color1
Color2
Color3
Color4 |