Page Updated 05/25/08

Thank you for your interest in a Hickory Hollow Llewellin Setter. We greatly appreciate your willingness to provide us with some information about yourself. We will use this data in our selection of potential new parents for our puppies and to help to match you with a puppy that also meets your qualifications.

Please feel free to submit your information online using the form below or click here to print and mail us a paper application.

Once received, we will acknowledge all puppy applications in a timely manner. In the event that we feel your application meets our standards, you will be placed on our "approved buyer" list and will be allowed to choose a puppy from any current of upcoming litter of your choice.

We look forward to hearing from you!

**All the information submitted will be held strictly confidential and is for our business use only. We will not share your information with anyone.

For your convenience, please read the Technical Notes section before filling out this application.


Date: (MM/DD/YYYY)

Personal Information:
Name: (you)
Name: (spouse/other)
Street Address:
City:
State:	Zip:
Phone (home):
Phone (mobile):
E-Mail:
Children at home?	Yes No Names:
Age Class:
Occupation:

Property Details:
In what type of area is your home located?
What type of home do you have?		If other, explain:
What is the size of your property?
Do you have a fenced yard?
Do you own or rent your home?	Other?
If you rent, what would you do with your dog if you had to move?

General Information:
How did you hear about us?
Why did you choose us as your breeder?

Puppy Preferences:
If there is a specific puppy we have "available" to reserve, please give us the details.
Available pup:	Litter ID: Puppy #: Call Name:

If you want to reserve a pup from a future litter, please tell us your preferences.
Gender:
Color:	Any color, No preference (Select from below if you have specific color preferences)
	White / Black and ticked White / Orange and ticked White / Chestnut and ticked Tri-color (White / Black / Tan) Chestnut Tri-color (White/Chestnut/Tan)	Blue Belton Orange Belton Chestnut Belton Tri-Belton Chestnut Tri-Belton
Timeframe?
Delivery Method: See Methods	If Personal Delivery, Air Shipment or Other, please indicate where the delivery will be made.
Additional Puppy Preferences:

Breed Related:

Would this dog be your first Llewellin Setter?

What qualities are you looking
for in a dog?

What are the reasons you have chosen this breed?

(Please check all that apply)

Family Companion

Hunting

Field Trials

Breeding

Show Ring

If you are a hunter, what other breeds have you hunted with?

Ownership:

Have you previously owned dogs?

What diseases did you vaccinate for?

If others, what type?:

Do you currently have any other pets at home?

If so, what species?

(If dogs, please also specify breed)

If you currently have or have had other dogs in the past, what brand of food did you feed?

If Store Brand or Other, what type?:

What types of meals did you feed?

Do you believe in feeding a premium dog food to enhance performance and maintain good overall health?

Are you planning to spay or neuter?

If undecided, please explain why:

Are you planning on training this dog?

What types of training will the
dog get?

(Please check all that apply)

Hunting

Field Trials

Obedience

Other

Will this dog primarily live inside or outside?

If outside, please indicate:

If Other, please describe:

Where will the dog stay while you are at work?

Where will the dog sleep at night?

Do you want to register your puppy with the American Field in the Field Dog Stud Book (FDSB)?
See FDSB Registration...

Are you interested in having your puppy microchipped?
See microchipping...

Once your app has been submitted, please e-mail us to let us know that you sent an application so that we can confirm it's receipt. Otherwise, if you don't hear from us very soon regarding your application, please give us a call. We will acknowledge ALL applications either by e-mail or a phone call within a short time.

Thanks for taking the time to fill out our application and for your interest in a Hickory Hollow Llewellin.

Technical Notes for using this application:

* All users:

In order for the puppy purchase application to be e-mailed to us, please be sure that your default e-mail software installed on your PC, such as Outlook or Outlook Express is open and running on your computer before you click on the SUBMIT button. Otherwise the e-mail containing your attached application may sit in your e-mail "Outbox" until the next time you run the e-mail program and thus will be delayed in reaching us.

If you use internet webmail, such as Hotmail, and your computer's local e-mail software, such as Outlook, is not set up to send and receive mail, then this application will not work for you. Instead we ask that you call us or use another method of application.

* AOL users:

This application will not work through AOL due to the way e-mail is processed. Please use another method of application. We are sorry for the inconvenience this may cause you.

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Personal Information:

Property Details:

General Information:

Puppy Preferences:

Breed Related:

Ownership: