RAMBLIN MAXX RETRIEVERS

4317 Vista Ridge Circle

Fort Worth, TX 76179

817-564-3560

www.ramblinmaxx.com

Reservation for pup from RAMBLIN MAXX RETRIEVERS

Name:______

Address:______

City/State/zip______

Phone & Email: Home:______Work______

Cell:______Email:______

Would like: Male______Female______Either:______

Color preference: ______

Hunt Test and Field Trial Experience

In which type of retriever activities are you involved?

AKC Field Trial _____for_____years AKC Hunt Tests_____for_____years

UKC Hunt Tests_____for_____years NAHRA Hunt Test_____for_____years

Hunting with a retriever_____for _____years

Which titles / accomplishments have your retrievers achieved?

(check all that apply and whether made by you or a pro)

AKC FT: FC, AFC self_____pro_____both_____

AKC FT: Open or Amateur Points self_____pro_____both_____

AKC FT: QAA self_____pro_____both_____

AKC FT: Derby List or points self_____pro_____both_____

AKC FT: Any Jams (note below) self_____pro_____both_____

AKC Master Hunter or similar self_____pro_____both_____

AKC Senior Hunter or similar self_____pro_____both_____

AKC Junior Hunter or similar self_____pro_____both_____

Any notes regarding the above

---if any accomplishments were achieved by a pro on your behalf,

please note the name(s) of the pro(s) here

—for FC/AFC and MH dogs, please list dogs’ names with titles here:

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You and Your Potential Puppy

What are your long-term plans and goals for this puppy?

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Please indicate the RMR Litter or Litters in which you are interested ______

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If you will be training the puppy yourself, do you follow any particular training program?

If so please provide details here. Otherwise what pro will handle this pup?

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Please add anything else we should know

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Please complete and mail along with your $250 deposit ……..Thank you for your interest in a RMR pup.

Also please call or email letting us know you have put the reservation in the mail.