What is your name?

What is your e-mail address?

Where do you live?

HRM
Other - within Nova Scotia
Outside of Nova Scotia

If outside of NS, where?

Are you interested in a

Persian
Himalayan
Both
Undecided

Do you prefer male of female?

Male
Female
One of each
Doesn
Undecided

Is there a specific color you prefer?

Or, is there a specific available kitten?

Do you have a second choice?

Are you at least 18 years of age?

Yes
No

Have you looked over the Agreement?

Yes
No
Would like breeding rights (additional charges will apply)

Do you have any children?

Yes
No
Yes, but they are grown

Do you currently have pets?

Cat(s)
Dog(s)
Other

Is there any other information?

Who may we thank for referring you?

Kijiji
Previous Buyer
Parade Street / Clare Animal Hospital
Piczo
Web search / browsing internet