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Contact Us

Kelley and Mike Kelbley

Fremont, Ohio

419-334-7559

mikelspups@gmail.com

or

mikels@woh.rr.com

New Puppy Questonaire

How were you referred to us?*

Name*

Address*

City*

State*

Zip*

Phone #

Email

Your Vet's Name

Your Vet's phone #

Are you

Age

Children

Children's ages

Home

How long will the dog be left alone during the day?

Where will the dog stay during the day?

Where will the dog stay during the night?

Do you have a securely fenced yard?

Have you ever owned a Belgian?

Other dogs?

Have you ever given a dog away, returned to a breeder or taken to a pound or shelter?

If "yes" what were circumstances

What other animals do you have at home?

Are you wiling to spay/neuter this dog?

What qualities of Belgians do you like?

Have you read books about Belgians or talked to someone who owns one?

Are you considering puppy and/or obedience classes

Are you interested in a male or female puppy?

The puppies we breed are very important to us throughout their lives. If for any reason you are not able to keep your dog, we would expect you to contact us so we could find him/her a good home.

Thank you for taking the time to share your information with us. Your information helps us to find the best puppy fit for your family.

Contact Us

Name*

Email Address*

Phone #

Contact Preference

Are you looking for a Male or Female?

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