Puppy Purchase Application

APPLICATION FORM

Congratulations! You're on our waiting list for an Australian Cobberdog puppy.


We need a bit more information about you and your family, for our administration and to get an idea which kind of dog you're looking for.

This application form, together with a 10% deposit (€ 250,-) *, is the final step to confirm your reservation on a puppy of the litter of Belle or Rosie.

                                                            Liesbeth Roelants - KBC bank

                                                            IBAN: BE22 7340 4727 1947

                                                            BIC: KREDBEBB

                                                            Note: ACD PET PUPPY

* Your deposit is refundable ONLY if we can not deliver you a suitable puppy, based on this application form and our judgement.

 
 
 
 
 
Yes
No
Sometimes
 
 
 
 
 
 
Yes
No
I will inform myself about an additional insurance
 
I have family members with allergies or asthma
I have family members who are allergic to dogs
My dog will be trained and work as a therapy or service dog
 
a male puppy
a female puppy
[no preference]
 
a wavy to straight fleece coat
a curly fleece coat (most allergy friendly)
 
Black
Caramel (brown nose)
Brown
Apricot to red (black nose)
Cream (black nose)
Parti coloured
 
 
 
 

AND NOW? WE WAIT AND LET NATURE TAKE IT'S COURSE!

Follow the 'My Cobber, My Dog' facebook page for uncensored puppy-spam.

Belgian Australian Cobberdog Breeder.



             YOU CAN FIND US

             ON FACEBOOK

Liesbeth Roelants


Boskant 4

3210 Lubbeek

info@cobberdog.be

+32 (0) 476 43 84 01

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