Your Contact Information:
NAME:
EMAIL ADDRESS::
PHONE NUMBER:
HOME ADDRESS:
CITY:
STATE:
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 range between $2,500 and $5,000
Pet Quality Female Puppies range between $3,500 and $5,000
Show Quality starts at $5,000. We do sell Show Quality into select pet homes.

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
Is anyone in your household allergic to dogs?
REFERENCES: (All references will be checked)

Please provide the name, address and phone number of your pets’ veterinarian.
If not applicable, please explain why:
Please provide the names and phone numbers of two personal references (not a relative):
Please confirm your email address below.
Is there anything else you'd like to add?
When finished, press Submit
To ensure that your applications is afforded consideration,
ALL fields/questions must be filled out as completely and accurately.
Failure to provide information may be cause for non-consideration.
SUBMIT
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.