Name: 

Address: 

City: 

Province/State: 

Country: 

Postal Code: 

HomeTelephone: 

Work Telephone:

Cell Telephone:

Email Address: 

ICQ Number: 

Preference Male/Female: 

Pet: 

Breeding: 

Show Quality: 

Information About You:

Your Family/Lifestyle
 

Interests/Other Pets:

Facilities For The Dog:

Knowledge About Samoyeds

And Dog Ownership:

Why You Want A Samoyed?

Why A Whiteshadow Puppy? 

Please give us as many details about yourself as possible so we can decide which puppy will best suit you. It is much like adoption as far as we are concerned and your cooperation with information will help us assess your ability and desire to own one of our babies. Thank You!  We will be contacting you shortly.

Please only press Submit once. Your request will be emailed.