Tes Ingebritson - Interested in Purchasing a Pet - *stars MUST be Filled In - FORM DOES NOT WORK ON CELL PHONES Please note that all fields followed by an asterisk must be filled in. Verify email 2 x check for errors *
E-Mail Address*
First Name*
Last Name*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Country* Country United States Canada ---------------- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribadi North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Federated States of Micronesia Moldova Monaco Mongolia Montserrat Morocco Montenegro Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S. Georgia and S. Sandwich Isls. Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam US Virgin Islands Wallis and Futuna Islands Western Sahara Yemen Yugoslavia (former) Zaire Zambia Zimbabwe Home Phone*
Second Phone contact *
Book "Cesar's Way": have you read it? As much as we humanize our pets, it is important to remember they are still animals. The law requires us to be responsible pet owners.*
---Select--- No, yet will read before receipt of pup
Yes, have read book
Poodle size desired?*
---Select--- Standard (Females 40-55# Males 50-65#)
Royal (NOT Red program - Females 55-75#+ Males 65-100#)
It can be either size
Color desired?*
---Select--- Open; see what I write below
Brown
Phantom - BL/Red/Apr markings
Phantom - Brown/Red/Apr markings
Phantom - Brown/Red/Apr-Agouti (black tipped hair)
Black/Blue
Red/Apr (NOT a Royal program)
Apr/Cream
Gender desired?*
---Select--- Female
Male
It can be either, open to love :-)
How did you find out about me?*
---Select--- Search Engine
Pets4you website
Facebook
Friend or family
Other
Would like to...*
---Select--- send form for puppy interview
I'm a customer with pictures/stats updates
Tes, I would like to call you for an interview (write desired day, time, could even be NOW): * What knowledge do you have of Cesar Millan the dog whisperer. No right or wrong answer. This is a gauge to understand what a looker knows about Pack Leadership.* It is important you share a bit about yourself, your pets if any, any family/friends living at home, pet knowledge and interest in purchasing a pet from Tes.*
Please complete the challenge that you see below.
