Cornerstone Kennels
Kelly M. Nesler 4327 Munjar Road, Chico, California   95973
Phone: (530) 899-8990 | Fax: (530) 899-8980 | Email: ckpuppies@aol.com

Customer Fact Sheet
[Please take a moment to tell us about yourselves so we will be able to help you select the best puppy for your home]

NAME:

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PHONE NUMBER:   Please indicate whether home or cell, best times to be reached, and if texting is an option. 

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ACTIVITIES:  Please describe the activity level of your home, including the adult members of your family.

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CHILDREN:  Please provide information about children living at home, including their ages & description of their personalities.

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PETS:  Please include information about any other pets living in your home.

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FUTURE PUPPY:  Please describe for us, ranking the level of importance, the qualities you are seeking in your new family member.

GENDER:  [Male] [Female] [Either]

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BREED:  [Coton de Tulear] [Havanese] [Either]

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COLOR/MARKINGS:  

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PERSONALITY:  

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TIME FRAME IN WHICH YOU ARE HOPING TO ACQUIRE YOUR PUPPY:  

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