Pearison's Pups Website

Please complete the information below if you desire to be placed on the waiting list. This information allows us to get to know you and contact you when a puppy becomes available. Applicants will be contacted in the order they were received.
* - Denotes a Required Field
Your Information
*Name:
*Address:
*City:
*State:
*Zip:
*Home Phone:
Cell Phone:
*Email Address:
Desired gender of puppy?
Who will be primary caretaker of the puppy?
List names and ages of all others living in your home:

List all previous and current pets:

Veterinarian Information
List your veterinarian of choice:
Veterinarian phone number:
Work Information
Do you work during the day?	YES NO
How many hours do you work?
Maltese Experience
Describe your experience with dogs and the Maltese breed?

Are you willing to take your puppy to obedience classes?	YES NO