Some Information About You...
First Name
Family Name
Suburb
State
Home Phone (incl. area code)
Mobile Phone
Email Address
Your preferences for a Bullmastiff Puppy
Choice of puppy
Male
Female
No Preference
Choice of colour
Red
Brindle
No Preference
Purpose of Bullmastiff
Breed
Show
Family companion
Is the Bullmastiff Suitable for You?
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)?
About your household
Do you currently own other pets?
Yes
No
If yes, please list.
If dogs, are they spayed or neutered?
Yes
No
If not, why?
Where will you keep your dog during the day?
Inside
Outside
Where will you keep your dog(s)when
you are away from home?
Inside
Outside
Fenced Area
Tied Up
Kennel
Other
If other, please state where.
Do you have stairs anywhere in your home?
Yes
No
If yes, please state 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)
No. adults
None
One
Two
Three
Four
Five or more
No. of teenagers
None
One
Two
Three
Four
Five or more
No. of children under 12
None
One
Two
Three
Four
Five or more
Where did you hear about TiaraRebel Bullmastiffs?
Internet
Referral
Other