Name * First Name Last Name Email * Phone (###) ### #### What kind of puppy are you interested in? Male Pup Female Pup Retired Male Retired Female Solid Black Black with White Markings Black and White Parti Solid Sable/Sable with White Markings Sable with White Markings Sable and White Parti Solid Chocolate Chocolate with White Markings Chocolate and White Parti White Chocolate Parti (Blonde Patches) Solid White Preferred Date MM DD YYYY What is your budget? Do you have a dog? If not, have you had a dog before? Tell us about it. Do you have a fenced in yard? Tell us about your family and other pets. Why do you want a Havanese puppy? What is a typical day going to look like for your new puppy? How did you hear about us? Option 1 Option 2 Message * Thank you!