First Name
Last Name
Address
Physical address, NO P.O. Box's
City
State
Zip
E-Mail Address
Mobile Phone
Land Line
Phone Number
Mobile Phone
Land Line
Phone Number
We need a copy of your mortgage statement or tax bill
Own
Housing, Do you
We need a letter from the landlord or a copy of your lease
stating that pets are allowed
Rent
Will this be your first Chihuahua?
Yes
No
If NO, please tell us how many you have/had and their age and sex
Do you own any other animals, other than Chihuahuas?
No
Yes
If Yes, Please tell us how many, what  breed, and their ages
No
Have you researched the breed?
Yes
Do you currently have a Veterinarian?
Yes
No
If Yes, the Veterinarian's Name & Number
How many hours a day will
the puppy be left alone?
How many hours a
day will the puppy
be crated?
Childreen's ages if under 18
How many humans live in the home?
Is everyone in the home in
agreement with getting a new puppy
Yes
No
Do you have a specific puppy in mind?
Yes
No
If yes, Which puppy?
Do you have a preference as to the sex of the puppy?
No Preferance
I prefer
Male
Female
Do you have a color Preference?
Do you have any issue with the required spay / neuter contract?
No
Yes
If YES, please explain why
We offer discounts for Senior Citizens, Military and for Repeat clients,
Do you fall into one of those categories?
No
Yes
This application is just that, an application. It does not constitute a sale or hold
of a puppy. No puppy will be placed on hold until this application is approved
by the breeders Becky and Don D’Allaird. The placement of our puppies is the
most important part of our business. Our goal is to ensure that each of our
families are completely educated on the commitment and responsibility that a
new Chihuahua puppy requires and have the resources required to care for a
new puppy. I understand that by signing this application it does not guarantee
me the purchase of a puppy or to be placed on a waiting list. I also understand
that the breeders Becky and/or Don D’Allaird have the final say as to whether to
approve or deny the application.
The breeders Becky and/or Don D’Allaird will notify you within 96 hours of
receiving this application as to its approval status.
If you do NOT hear from us within 96 hours please call us at
518-696-6448 or 518-307-5688
Please type your name below
Your are closer to getting the pups of your dreams.
By typing your name here you
agree that it is accepted as your
true signature
By submitting this form you agree that you
answered all the questions truthfully to the best of
your knowledge.  Any false information entered can
cause this form to be void and any deposit placed on
a puppy to be forfeited.
Bella's Little Angels
Chihuahua Breeders
Online Puppy Application
Your privacy is very important to us, We will never sell or share your information.
Please fill out the below application fully and honestly. It is our mission to
ensure our puppies go to a well suited home.