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First Name
Family Name
Suburb
State
Home Phone (incl. area code)
Mobile Phone
Email Address
Choice of puppy Male
Female
No Preference
Choice of colour Red
Brindle
Fawn
No Preference
Purpose of Bullmastiff Breed
Show
Family companion
List the reasons why you want a Bullmastiff
What do you know about the Bullmastiff? (ie temperament, origins of the breed, breed standard etc)
Have you owned large breed dog(s) before? Yes
No
If yes, what breed(s)?
Do you currently own other dogs? Yes
No
If yes, what breed(s)?
Are they neutered? Yes
No
If no, why not?
Where do you intend to keep your dog while you are at work?
What do you intend to do with your dog when you are on holidays?
Do you have stairs anywhere in your home? Yes
No
If yes, please state where and how many.
What is the surface of the stairs? i.e. carpet, concrete, timber etc.
What type of fences do you have? (i.e. chainlink, timber, rural, colourbond etc)
How high are the fences?
Number of adults
Number of teenagers
Number of children under 12
Where did you hear about TiaraRebel Bullmastiffs?