Number of Family Members in the same household:
Address: Country:
Phone No.: E-mail Address:
Name of dog: Male Female
Pet's Date of Birth: Country:
Please provide: Mother's Name: Father's Name: Are the parents registered with your Local Kennel Club? Yes No
Weight: lbs. kgs. Colour:
Hair: Short Long
What does your Chihuahua like to do?
Would you be able to provide photos of your pet? Yes No
Do you show your Chihuahua? Yes No If yes, what prizes have you won and where?
If you are a breeder, please advise when your bitch will have her next litter? Date: Would you be able to provide photos of your puppies? Yes No
Please provide reasons why someone should buy a Chihuahua as opposed to any other breed:
Do you belong to a Kennel Club? Yes No If yes, which Kennel Club? Please provide name and address:
Do you belong to any other Chihuahua Club? Yes No If yes, which Club? Please provide name, address and phone No.:
Have you ever shipped puppies before? Yes No If yes, please advise to what country? Was the shipment successful? Yes No Were there any rules for shipping the puppies? If yes please provide details: