Application Form

To ensure submission of the form and completion of payment,
please fill out all * required fields below:

I am interested in:*

Which breed have you chosen?*

Why have you chosen this breed?

Male or Female or Open?*

Name*

Street Address*

City*

State*

Zip*

Phone*

Alternate Phone

Email Address*

Do you currently own a dog? If so, what breed?*

Are there children in your home?*

Do you or does anyone in the home have special needs?*

Do you work outside the home?*

Are you getting this breed to protect your home, family?*

Do you have a fenced yard, or are you prepared to install a fence if needed?*

Did you find answers to most of your breed questions on this website?

Please tell us how you found out about Feathers and Fleece Farm

Do you have questions you cannot find answers to on this site? If so, please let us know.

Is there anything you would like to add to this form that might help us in placing a new puppy with you?

Have you read and do you agree to our health contract?*

Feathers and Fleece Farm only raises non shedding large breeds. Did you come to us because you have allergies?

If a puppy should come available sooner than anticipated can we contact you?*

To complete your application and get on our list you will need to place a $200.00 non refundable deposit. Are you ready to do so?*

Will you be wanting to purchase Pick Of Litter for your chosen breed and sex of puppy? If so there is an additional $500.00 fee for this option due now with deposit.*

Will you be taking advantage of our training programs?*

After successful submission, you will be re-directed to complete the deposit.

To ensure submission of the form and completion of payment, please fill out all * required fields below:

Feathers and Fleece Farm

To ensure submission of the form and completion of payment,
please fill out all * required fields below: