This application may take some time to complete. Please allow yourself the time to answer the questions fully. If a question does not apply to you then please use N/A in the blanks. Please note that self employed persons will need to input their own name in the Employer's field. Please DO NOT Submit the form until it's completed.

  • Due to the overwhelming number of applications we are receiving at this time, we may not contact you until we have something that we think might fit your needs. This could be 6-12 months. Thank you!
Date
Date
Today's Date
Name
Name
Address
Address
PO Boxes are not acceptable
Home Phone
Home Phone
Cell Phone
Cell Phone
Preference? *
Color? *
Age? *
Where do you live? *
Do you rent your home? *
Renters must provide contact Info
If so what will happen to your pug?
Pet Ownership History
What type of animals do you currently have, and what others have you had in the past 5 years?
Breed, Age, Sex, Altered? - Lives Indoors/Outdoors - Still have this pet? If no, what happen to the pet?
Breed, Age, Sex, Altered? - Lives Indoors/Outdoors - Still have this pet? If no, what happen to the pet?
Breed, Age, Sex, Altered? - Lives Indoors/Outdoors - Still have this pet? If no, what happen to the pet?
References
You must provide at least one personal reference and your Employer's contact Information
Your Veterinarian's Information
Your Veterinarian's Information
Vet's Name
Vet's Phone
Vet's Phone
Name and Phone number
Personal Reference #1
Personal Reference #1
Address
Address
Personal Reference
Phone
Phone
Personal Reference
Personal Reference #2
Personal Reference #2
Phone
Phone
Personal Reference #2
Your Employer
Your Employer
Must input info here
Employer's Address
Employer's Address
Phone
Phone
Employer's Phone Number
Your Family
Please Answer the following questions regarding your household
How will your pug live?
Wood/Chain link - 4'
This is one of our requirements.
Please answer below (Y/N)
Companionship? *
Show? *
Performance Events? *
Outside Pet/Watchdog? *
Company for other pet? *
Please explain
Your Pug Knowledge
Thank you for completing this application!
Please allow us at least 24 hours to let you know we have received your application. If we do not have an appropriate pug for your situation, we can add you to our waiting list if you request it. We reserve the right to sell, or not to anyone applying for a pug from us.
**NOTICE**
Due to the overwhelming number of applications we are receiving at this time, we may not contact you until we have something that meets your needs. This may be as long as 6-12 months. Thank you for your interest in our pugs. Brendy Pugs