Breeder Information Breeder Name* Breeder Address Breeder City Breeder State* Please Select.. Alabama Alaska Arizona Arkansas California Colorado Connecticut 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 Kennel Name Breeder Email Breeder Phone Number Breeder Website Breeder USDA No. How did you find your breeder?* Website Social Media Referral Other If found another way, please indicate how: If found through a puppy broker's website, which one*? Lancaster Puppies Puppyspot Greenfield Puppies Puppyfind Next Day Pets Terrific Pets Dogs Now Crockett Doodles Uptown Puppies Premier Pups Puppy Trader The Labrador Site American Kennel Club Puppies.com LSN.com Craigslist Hoobly Puppy Trader Pawrade Oodle None of the Above Other Broker Website If found through social media, which one?* Facebook Instagram Other None of the Above Social Media URL Puppy Information Date of Purchase* Breed of Dog or Puppy* Age of Dog or Puppy* How was your puppy delivered to you?* Picked up at breeder's home Met in a parking lot Delivery service Airport pickup Nanny Other If other, please explain: Would the breeder let you meet the mother dog?* Yes No Any Additional Comments: Would the breeder let you see where all of his dogs live?* Yes No Any Additional Comments: Did the breeder list other breeds for sale? * Yes No Any Additional Comments: How many breeding dogs did the breeder have?* Was your puppy healthy?* Yes No Any Additional Comments: Did you receive the correct puppy?* Yes No Any Additional Comments: Did your puppy come with vet records?* Yes No Any Additional Comments: Did your puppy come with a health guarantee?* Yes No Any Additional Comments: Would you purchase a puppy from this breeder again?* Yes No Any Additional Comments: Rate your breeder 1-5; 1 is the lowest 5 is the highest. Breeder Rating Please Select.. 1 2 3 4 5 Additional Comments Remember Form Info Your Name Email Address
