Family-owned in Iowa since 1995 · Visits by appointment (641) 777-5575

Cindy’s Puppies · Melcher-Dallas, Iowa

Puppy Application

Tell us about yourself, your home, and the puppy you’re hoping to welcome into your family.

Please review the visit and purchase information before completing your application. Cindy will review your answers and follow up.

Important information before submitting your puppy application

Before your visit

Appointments are required. Discuss your plans with your household and submit your application before your visit. No outside pets, kennel access, or public restrooms are available. Please reschedule if you have been to another breeder or rescue, or around a sick dog, within 48 hours.

Before making a commitment

Review the puppy’s price. Down payments and deposits are non-refundable and non-transferable, except as expressly provided in the written warranty. Deposits are arranged with Cindy through a payment request; final pickup payment is cash. No checks are accepted. The supplied information lists 7% Iowa sales tax and a 4% credit/debit card fee. Contact Cindy to confirm your total and payment arrangements.

Out-of-state buyers must choose a puppy before traveling and allow time for the veterinarian’s health certificate. Shipping is unavailable according to the supplied sales disclaimer.

Read all visit, payment, pickup, and puppy-pack details →

Health warranty information →

Fields marked * are required. Cindy reviews every application personally; your answers are not used for automatic approval or rejection.

Contact details
Your puppy and veterinarian
Your home
If you rent/lease, is it acceptable to have a puppy where you live? *
Do all the adults living in the home approve of this purchase, such as a spouse? *
Do you have other dogs/cats currently? *
Should you have to move to another location, will you be able to relocate with the puppy? *
Have you ever been convicted of animal abuse or cruelty? *
Care and purchase information
Do you understand and agree this is a pet-only puppy? No registration papers will be provided. *
Do you understand this puppy's vet, grooming, feeding, and housing needs? *
Have you viewed the prices of the puppies on the appropriate puppy listing page? *
Do you understand that we don't accept checks, and if you pay with a credit or debit card there is a 4% fee for doing so? *
Do you understand and agree that your down payment is nonrefundable? *
Have you read, understood, and accepted the terms and conditions of our warranty? *

Health warranty information · Puppy policies

Your plans and signature
Privacy and submission

Read the application privacy notice

Please do not include payment card details, identification numbers, medical information, or detailed criminal records. Only answer the questions asked.

A new chapter starts here

Let’s find your family’s
next best friend.

We’re happy to answer your questions and help you take the next step.

Puppy Application →Call (641) 777-5575