Home and/or Cell phone:



Personal references:
and phone #:

Looking for show prospect, pet or rescue.

Type of residence(apartment, house,
condo, etc...):

Where will dog be kept most of the time:

Members of household and ages:

Do you have a fenced yard? If not, where
will dog be exercised and pottied?

   Present and past pets and if they are
no longer with you, what are the reasons:


Veterinarian phone #:

What are your plans for this dog?
Pet, Obedience, Conformation showing,
breeding, etc...Please explain:

Do  prefer male or female?

Are you willing to spay or neuter?

What age of dog are you looking for?

May we forward this information to other
breeders if we are unable to help you? 

Please give any further comments to
assist us in placing a Boston Terrier with

Own     or     Rent
                                                      GUMBO'S INQUIRY FORM
We take great care in finding the perfect family for any of our available Bostons.    In order for you to be considered as a potential home, this form must be completely filled out.  Verifiable references are required and will be contacted (In spite of the previous statement, it is amazing at the incomplete inquiries that I get, that are promptly deleted due to lack of providing the requested information, so if you are serious about getting a puppy or dog from me, please fill in ALL of the information.

Option #1Option #2