Application Request for Puppy

The form below must be filled out before any payments will be accepted for one of our puppies.

Once the form is filled out, I will contact you with any questions I may have for you. 

If I have no questions and your home is suitable for one of our puppies,

I will send you a paypal invoice request for your Non-Refundable Partial Payment, on one of our puppies, once our female is confirmed pregnant.

Remember there is a 4% paypal service charge which goes to paypal and not Araeah's

Thank you for your interest in Araeah's puppies.

* Required fields
Name *
E-mail Address *
Last Name *
Street Address *
City *
State *
Zip Code *
Home *
Yard *
Phone Number: *
Preferred Contact
Best Time To Contact
First Choice *
Reason for Purchasing Puppy *
Have you owned a poodle before? *
Tell us about the home / family the puppy will be staying with and what the puppies day will look like in a 24 hour period *
Other Animals In The Home *
How Did You Find Us *
If this puppy will be for breeding, tell me about your breeding program and how long you have been breeding?
I agree with the Health Contract *
I agree with the Vaccination Protocol *
Veterinarian Reference *
Choice of Color

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