Application Process

*** WHEN LOOKING TO PURCHASE A COBBERDOG, CONFIRM THAT THE BREEDER IS A REGISTERED MDBA MEMBER. THE LOGO ITSELF, ON A WEBSITE, DOES NOT MEAN THEY ARE A MEMBER. (mdba.net.au) ***

Please fill out the form below to start the application process.

Contact Info

Willow Haven Australian Cobberdogs
Appleton, WI 54915

Kevin Calmes
1 (920) 609-2416

Email Us

* Required

Puppy Application

*First Name

Please enter your First Name.

*Last Name

Please enter your Last Name.

*Email

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*Mobile Phone

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*Receive Text Updates?

*Address

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*City

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*State

or Region

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*Postal Code

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*Country

*Litter of Choice

Please tell us which Litter you prefer.

*Size

Please choose a preferred Size.

*Color

Please choose a preferred Color.

*Sex

Please choose a preferred Sex.

*Are you aware there is a Non-Refundable Fee prior to purchasing your pup?

Please select if you are aware of the Fee.

*Are you interested in a House Pet or Breeder?

Please choose a preferred Type.

*Which items are most important to you? (rank 1-4)

Sex
Temperament

Color
Size

Please rate all items of importance.

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