First & Last Name Full Address Phone Number * Email * Is your significant other/spouse/partner in agreement with purchasing a Maltese puppy? * Do you prefer male or female? * What is your timeline for obtaining a pet? How soon or what date are you wanting to bring a puppy home? Do you have vacations planned, home remodels, moves, or other issues that will prevent you from accepting a puppy when offered to you? What are those exact dates? Please do NOT put down “As Soon As Possible” if you cannot accept a Maltese puppy when offered. What SPECIFICALLY is the most important trait would like to see in your Maltese? Please be precise about age, size, personality traits, certain looks, etc, Are you ok with me choosing your puppy for you based on the criteria that you provide? Please list any children under the age of 18 yrs. Please any other pets in the home. Can you provide proof of spay/neuter? Are you currently working with any other breeders? If accepted to my waiting list, do you plan to continue to shop for another Maltese? Do you own or rent? Does your current home have stairs? Pool? Fenced backyard? How many hours per day are you gone from the home? What will the puppy do and where will it be housed when you are gone? Where will the puppy relieve itself? Where will puppy sleep? Have you ever owned a Maltese before? Where did you get your Maltese? Please describe your knowledge of the breed, health, grooming, etc Do you plan on keeping your Maltese in a long, “Show” coat or keeping it in a “puppy cut”? If you are wanting to keep your dog in a long coat, please explain your grooming experience. Do you plan to train, exhibit or use puppy for service? What is your knowledge of training or exhibiting? Have you ever had to re-home a pet before? Please describe the circumstances. Where is that pet currently? How did you hear about us? Who referred you?