Please submit the following information ...

Your Kennel Name (if applicable):

Your "Contact" voice-phone number (with area code): and time you can be called

Your FAX-phone number (with area code):

Address:
City/Town:	State/Prov.: Post./Zip Code:
Country:

Enter password:

Personal References:
Name, address, phone#, e-mail of someone who can vouch for you as a dog-owner.


Describe the German Pinscher you want to or Adopt (i.e.: age, sex, color)


The following are check-boxes. put an "X" by any that apply to you:
Own a German Pinschers
Own a Lakai German Pinschers
Bred one of my German Pinschers
  Looking for "Pet-quality" companion
  Looking for "Show-quality" to breed
  Just looking for information about GPs
  Interested in alternative medical care
  Interested in BARF, raw-food diets for dogs
  Foster a dog (until permanent home is found - may be for several months)
  Help Maintain a Database of GP-owners
  Help create or proofread webpages on German Pinschers websites.


Name, address, telephone number of your Local Animal Shelter:

Brief description of your background in dogs, German Pinschers, and rescue.
Why do you want a German Pinscher? (what attracted you to this breed?)
Why do you want to subscribe to the Lakai-GP maillist [if you don't have one of my dogs]
If you have one of my dogs, what is it's name, birthdate, sex, color?
and what would you like to see discussed on the Lakai-GP maillist?

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