~Highland Acres~
Puppy Request
If you are unable to send this form electronically,
Please contact us at one of the following:
Highland Acres
P.O. Box 420
Templeton,  CA  93465
Home Phone (805)434-5539
e-mail @ highland_acres@yahoo.com
First Name
Last Name
First Name
Last Name
City
Street Address
Zip Code
State
Phone
 Email (required)
Dog Preference
Breed
Bullmastiff
Male
Female
Color
Red
 Brindle
Fawn
Red Fawn
Puppy's Purpose
Companion
Show
Own other pets?
Yes
 No
If yes, please list (example:  boxer F/spayed)
Age of members in home (example: 6, 10, 36 & 37)
Comments:
City
Street Address
State
Zip Code
Email (required)
Phone