This form allows me to get to know your family and allows me to help you pick the best puppy that fits your lifestyle.  Please fill out the form below and email it back to me.  Please note that filling out this form does not guarantee you a puppy, but it is the first step in determining if you will provide a loving home for a Bernese Mountain Dog puppy.  We will try to respond to your email as soon as possible and can discuss more of the details or go over any questions that you may have at that time.  Thank you!

Name:

Address:

Phone:  Home or Cell:

Preferred hours of call back:

Email Address: 

Why did you choose this breed?

Are you interested in showing? 

Do you have children? What ages?

Do you have a fenced yard to keep the dog or a park near by?

Do you want a male, female or either?

Will you need the puppy shipped?

To which airport?

How many hours a day will you spend with the puppy?