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Name:(First & Last Name Please)*

Address: (A Full Address is required) *

e-mail: *

Phone:*

How Did You Hear of Dunwurkn Border Collies*

If Other - Please Give Details

Why are you interested in a border collie? Have you owned or lived with a border collie before if not What Other breeds have you owned or lived with?? Please be descriptive *

Please Choose One or More Preferences for your Puppy*

What do you plan on doing with your Border Collie?*

If Other- Please Give Details

Do you have a secure yard? How high are you fences?*

How much time do you plan on spending with your Puppy each day?*

Please Describe your Home Environment of your Puppy - Select One or More*

If Other - Please Give Details

Do You Have Children Living at Home? If Yes - What are their Ages?*

Have You Read The Puppy Purchsing Info Page?

Are you a registered breeder? If yes, what is your prefix and do you have a website?*

What is the most important aspect of the Border Collie for you? (ie: temperament, colour, markings, etc)*

Any further information you feel you want to share with us?*

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