Your Contact Information:
Your name:
Your email address:
Your phone number:
Home Address
City
State zip code
How did you find out about CHRISMAN MALTESE ?
How many people live at your residence?
List  all Children under 10 years of age:
Are there other animals currently in your household?:
Yes
No
If yes, please list age, sex, if altered, type/breed, how long owned and how
obtained
(Example – "3 y.o. male neutered collie; owned 2 yrs; from shelter"):
Have you ever owned a dog before?:
Yes
No
If yes, please give a brief history:
Please tell us what you are interested in :

Are you looking for a Male or Female Maltese puppy?



Are you looking to purchase a pet quality puppy?



Are you looking for a show quality Maltese?
Price Range

Pet Quality Male Puppies are $1,500-$3,500
Pet Quality Female Puppies are -$3,000-$4,500
Show Quality $5,000 and up and yes we do sell Show Quality for Pets

If you are considering a CHRISMAN puppy, please let us know what price range you
are in so that we may spend time discussing the puppy that best fits your budget.
What is your anticipated time frame for purchase?

No time frame  Immediate  1-3 Months  3-6 Months  6+ Months
Does anyone in your household have allergies to dogs?
REFERENCES: (All references will be checked)

Please provide name, address and phone number of your pets’ veterinarian.
If not applicable, please explain why:
Please provide name and phone # of two personal references (not a relative):
Please confirm your email address below.
Is there anything else we should know about you or is there anything else
you'd like to add?
Then press Submit
To ensure that all applications are afforded consideration, all fields/questions
must be filled out as accurately as possible. Failure to provide information may
be cause for non-consideration
Back to Chrisman  Maltese
Directory
CHRISMAN  PuppIES
Questionnaire
APPLICATION
Tell us a little about yourself.

Your answers to this questionnaire will help us match the right puppy for you according
to your preferences and lifestyle.