Interested Breeder Form

Interested Breeder Form

Apply below!
Tell Us About Yourself
Name

First NameLast Name
What is your kennel name (if applicable)?
What's your mobile phone number?
Please enter a valid phone number.Format: (000) 000-0000.
What's your kennel's phone number?
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date of Birth

MonthDayYear
Date
Last 4 Digits of SSN
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physical Address(if different from your mailing address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does your kennel have a Web site? If so, what is it?
What is your preferred method of communication?
Are you able and willing to host a Zoom meeting with potential buyers?
Tell Us About Your Pups
What breeds do you raise?
How long have you been breeding?
How many breeding females do you have on your property?
Are you USDA certified?
Is your vet USDA certified?
Do you do any genetic testing?
Do you administer your own vaccinations?
Are your puppies registered?
If they are, with which registry?
Are your puppies microchipped?
Do you offer an extended health guarantee (that exceeds our Signature Health Guarantee)?
Thank you for your interest in joining Pawrade!

An Onboarding Specialist will review your application and contact you within 7 business days if we wish to pursue a partnership with you!
By submitting this application, you consent to receive electronic communications from Pet Media, Inc., including but not limited to emails and text messages, for the purposes of marketing, informational updates, and other related matters. This consent will remain in effect until you choose to opt-out, which you may do at any time by following the opt-out instructions provided in our communications or by contacting our customer service. You acknowledge that your consent to receive these communications is not a condition of any purchase or service. Standard messaging and data rates may apply.

By submitting this application and using our services, you agree to Pet Media's Terms of Use. Please review them carefully before proceeding.
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Interested Breeder Form

Tell Us About Yourself

Tell Us About Your Pups