Westwind
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    • JORDAN 02-12-2023
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This Questionnaire form is for clients that have already placed deposits with us.  If you are contacting us for the first time to inquire on availability of puppies, please use the Contact Form on the CONTACT page instead.
After you click the SUBMIT button at the bottom, the Questionnaire should disappear from the page and a brief message should be shown instead.  If not, please check to make sure you have answered all questions with a red asterisk, otherwise it won't submit and it won't pop up and tell you which questions were unanswered. 
06-15-2019 - In the past 2 weeks we've been having a lot of problems with people not being able to submit this Questionnaire.  When I went in and tested in today i discovered they've done a security process when you submit this.  It comes up with the picture boxes asking you to choose all that have a sign, or a car, or a store front, or whatever before it will let you through.  It wants to make sure you're not a robot.  I had nothing to do with this screening, so I don't know how to undo it.  So, if you have ANY problems at all, just email me.  I have this Questionnaire in email form so all you have to do when I send it to you is click reply on the email and then click your cursor in the space below the question to fill it out.  It's a lot better than going through the hassle trying to submit this form.  So disappointing...

    Westwind Wheatens Puppy Family Questionnaire

    It is very important to us that each of our puppies goes to a home where they will be a treasured member of the family.  We know it's important to match each puppy to the family's needs.  Your responses on this questionnaire help us know you and what you are looking for in your Wheaten. Please fill out as much of this questionnaire as possible.



    I hereby certify that all information contained on this questionnaire is true and correct.  I understand that I will be required to sign a Purchase Agreement.  This questionnaire will become part of the agreement and any misrepresentation in this questionnaire will constitute a breach of the conditions of Purchase.
    Signature
    Entering your name and today's date will be accepted as a signature.
SUBMIT

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Westwind Wheatens
1726 206th St
Red Oak, IA 51566
(712) 623-3611

westwindwheatens@live.com
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Soft Coated Wheaten Terriers * www.WestwindWheatens.com * WestwindWheatens@live.com * Sherry & Steve Akers * Red Oak, IA * 712.623.3611