Application  

Congratulations!  You have decided that a PurpleMoon Pup is right for you! 
​Once we have a confirmed pregnancy, we will post the litter on the “Available Puppies” page and our FB page Michigan Brussels Griffons

 Once you have submitted an application, we will contact you to discuss questions you have and ask questions we have. Once your application is approved, we will ask that you place a non-refundable $500 deposit to be placed on the list of Available puppies.
 The deposit is applied to the total cost of the puppy and NON REFUNDABLE 
 Thank you!

• Name*
  First___________________ Last____________________________
• Address*__________________________________________________
  Email*
• Phone* cell___________________ Landline____________________________
• Comments


• Does anyone in your family suffer from dog related asthma or allergies?
  • Yes
  • No
• What gender do you prefer?
  • Male
  • Female
  • I am Flexible
• What color do you prefer?
  • Red
  • Belge
  • Black
  • Black and Tan
  • Flexible
• Preferred coat type?
• Rough
• Smooth
• ****IF WE HAVE MORE THAN 1 LITTER**


• Desired litter?_____________________________
  :
• Does your family have:
  •  Children
  •  Elderly
  •  Physically Impaired
• Is your yard fenced?
  • Yes
  • No
• Is your lifestyle:
  • Sedentary
  • Somewhat Active
  • Active
  
  
  • You select your puppy at 4 weeks of age
    • by Photos 
    • you will have 24 hrs to decide if no decision is made we move to the next person on our  wait-list.
      
• Transportation:
  
• CHOOSE 1 of the options below:
• 
  
  • I will pickup my puppy at a mutually agreed upon public place
  
  
  • I would like you to meet us at the Flint Bishop Airport * see pricing*
    
  
  
  • I would like an escort to fly with our puppy to our closest major airport * see pricing*
    
  
  
  • I would like a quote for our pet nanny to drive said pup to your home or meeting place.