Puppy Buyer Application
Please copy/paste, fill out, and print application.  A confirmation will be sent to address given when application process has been completed.

Pembroke Welsh Corgi Puppy Buyer Application

Name Date .

Address Phone# .

Email .

Place of business Title/position .

Business address Phone# .

Fax# Email .

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Where did you first see or hear of PWCs? . How did you find TJS FARM? What qualities most interest you in a PWC? .

What other breed(s) have you had? ____________ Did you Obedience train? ______

How often did you have professional grooming? .

One of the great things about PWC's is their love of doing things with their people. What kind of activities/training most interests you? ____Obedience, ____Herding, ____ Agility, ____ Companion, ____Pet Assisted therapy work.

Would you be interested in putting working titles on your dog? ____________

Have you ever shown or bred dogs ? If so, what breeds ________________________

Are you interested in breeding?______________

CARING FOR THE DOG (If Possible Please include photo's of areas dog will spend time)

Where do you plan for the Puppy to spend most of its time when you are not home and while you are home _____________________________________________________ and as an adult,_____________________________________________________________________

Will your dog be around children?_______ What ages? Do you have a dog run________ , fenced yard_______, how large__________, will you crate train your puppy?___________ .

What kind of a schedule is your household on Daily? Who will be responsible for feeding, exercise and grooming?_____________________________________________________


Color preference: _____________ Sex: male___ female____ either____

Would you consider_______ or prefer_______ an older puppy____________ or Adult?____________

Are there other characteristics you hope for? (i.e. Size, build, markings, or specific aptitude )

You are looking for…. (check as many as may apply)

Pet only - to be spayed/neutered_____

Guaranteed show/breeding - interested in definite show/breeding quality______

Pet with show potential - not specifically interested in showing/breeding but if the dog turns to have exceptional qualities, important to the breeding program, will follow breeders guidance in having dog shown to attain championship and allow breeder to breed ________

Show prospect - will spay neuter if doesn't turn out or will have a professional handler show, if dog does turn out ______

Show prospect - will spay if doesn't turn out or will want to learn to show dog personally, if dog does turn out ________

Please Provide two references

, one animal related if possible (vet, groomer, trainer Etc.) The Other a friend or family member who might puppy sit for you.

Name________________________________ Ph.#_______________________

email address_________________________________

Relationship___________________________________ years known________

Name________________________________ Ph.#_______________________

email address_________________________________

Relationship___________________________________ years known________

If you have had a PWC previously please provide seller and breeders names and contact info. If you have another PWC currently not spayed or neutered also include Pedigree/health stats .


A deposit is being made in the amount of $_________ to show intent to purchase a dog as described. If Jennifer Skinner cannot provide a puppy as described or has not assisted in the purchase of a puppy as described within _______ months, this deposit will be refunded. However, if depositor/applicant changes their mind, buys a dog elsewhere, or has misrepresented themselves in anyway, Jennifer Skinner reserves the right to deny a refund, in whole or in part.

Signed_________________________________________ Date________________

Mail with deposit to Jennifer L. Skinner, S2875 State Hwy 23, Reedsburg, WI 53959