Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have air conditioning? *

yes

no

Why are you interested in getting a Bergamasco puppy? *

Please choose as many as applicable

Family companion

Farm work

Show

Dog sports

Therapy dog

Breeding

Are you willing to spay/neuter your dog? *

yes

no

Are you financially able to provide a puppy with medical care if needed? *

yes

no

Are you willing to receive guidance and advice from your breeder regarding breed specific care, training and coat maintenace? *

yes

no