Address: *

Email Address:

Contact Number:

                    Note: ( * ) Required

Are you interested in:

Do you currently own a Siberian Husky?

Are you looking for a particular coat color?
What color ?

Any eye color?
What color ?

Do you prefer?

Living Arrangements?

Do you own your home?

Do you have a backyard with a fence?

Will the dog be kept inside or outside the house?

Please provide 3 references with names and phone numbers, who we may contact
regarding your ownership of a Fusion Siberian. (non-relative):

Are you prepared to take responsibility for a Siberian for the next 10-15 years?

Are you willing to allow us to visit your home?

Please provide the name, telephone number, and address of your veterinarians.

*All dogs sold as companion animals are required to be spayed /neutered. All adults are spayed /neutered prior to going to their new homes. All puppies are required to be spayed /neutered at their new owner’s expense prior to turning six months old. All dogs sold as pet/companion will be issued with PCCI LIMITED registration papers

*Any Fusion Siberian that can no longer be kept by their owners must never be sold or be given away and must return to Fusion Siberians.

I fully understand that completing this questionnaire is an important part of the screening process and is not a guarantee that I will be sold a Fusion Siberian Husky.

Type verification code:
verification image, type it in the box