Tarheel Tamaskan

Puppy Application

Tarheel Tamaskan Puppy Application

*Name *Address *City *State *Zip *Phone *Email Occupation Annual Hosehold Income
less than 50,000
50,000 - 100,000
100,000 - 150,000
150,000 - 200,000
moe than 200,000
Type of Home How long have you lived at your current residence
Less than 3 Years
3-5 Years
5-10 Years
10-15 Years
Greater than 15 Years
What type of community do you live in
Urban
Suburban
Rural
Do you live where Wolves or Coyotes inhabit By sumitting this application I certify my responses are true, accurate, and correct to the best of my knowledge and are made in good faith. I understand that making a knowingly and willfully fasle statement on this form may result in a loss of any deposit paid and cancelation of any contract for the purpose of purchasing a Tamaskan Dog from Tarheel Tamaskan. By submitting this form I agree to the aforementioned statement