VA7 - 2005 USA
SIEGER SHOW
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No Articles or Pictures may be used without prior concent of owner or manager ~ Contact Russ Osburn 620-232-1078  
Lida Fluery 620-232-2655 /

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Please take a few moments to fill out the form below to help us better serve your needs.
Thank You
Whirling Thunder ~ German Shepherds
Contact Information
If you wish for us to contact you by phone you must fill in at least one of the phone boxes
using your 10 digit phone number. (i.e. 1-816-555-6678).
First Name:
Last Name:
E-mail Address:
Country:
Home Phone:
Mobile / Work Phone:
Dog / Puppy Information Form
Have you ever owned a German Shepherd before?
Do you presently own any other dogs or animals?
What are your plans for this pup / dog? Check all that apply.
Breeding
Show
SAR
Personal Protection
Schutzhund
Therapy
Family Companion
Service
Police Work
Drug Work
Yes
No
Do you own or rent your home?
Do you have a fenced in area?
Do you have children?
What budget are you working with for the purchase of your new pup / dog?
Any thing else you would like for us to know about you, your family, lifestyle, etc?