Generated with MOOJ Proforms Basic Version 1.5
*Required information.

Thank you for your interest in a Staffwild puppy.  Please take the time to fill in our form. 

Please note: Filling in this form does not guarantee you a puppy.

Your Name: *
Address:
Suburb: *
State: *
Country: *
Contact Number: *
Email Address: *
Your Age:
Your Living Arrangements:
Are you currently:
Do you have children? If yes, what are their ages?
Do you have other pets? If yes, what type and ages?
Have you had previous experience with Amstaffs? If yes, details please.
Do you plan for your puppy to be:
Why would you like a puppy from our kennels?
What are the most important qualities you would like your pup to have?
What are you interested in doing with your puppy?
Are you willing to desex your pup?
What sex would you prefer?
What colour pup would you prefer?
If you are interested in breeding, please give more information. Prefix? Member #:, Experience?
Staffwild Kennels keeps in contact with all puppy buyers. Do you have objections to us visiting your home or organising a meet up at a local park?
JSN Decor template designed by JoomlaShine.com

Copyright © 2002 - 2016 Staffwild Amstaffs. All rights reserved.