Your name?

Phone #

Email



City and State?

Do you have other animals at home?

Yes
No

If yes, what kind?

Do you have small children at home?

Yes
No

Ages of children?

Do you have a family vet currently?

Yes
No

If yes, could you please provide your vet's phone number?

Please choose the option that best describes you

I am looking for a show dog I am looking for a pet only Undecided

Have you ever owned a maltese before?

Yes
No

Are you aware of the care it takes to keep a maltese in coat should you decide to do so?

Yes
No

Do you object to spay/neuter?

Yes
No

What age puppy are you looking for?


 

Have you researched the breed?

Yes
No

Are you looking for anything specific in a maltese puppy? Please describe what
your expectations are: (temperament, looks, size, etc)