Mizpah Boerboel, CD Order Form

	Welcome to Mizpah Boerboel!

Flash Announcement: Breeding Dogs Updated

Online CD Order Form

Thank you for your interest in our CD.
Using this form facilitates the speedy delivery of the CD to your address.
(We reserve the right to charge a small fee for future CD's to cover production, packaging and postage.)

Name:
(First name, Last name)

Email Address:

Country:

Postal Address:
(Complete Address:
             City
             Postal/Zip Code:
             Country

Telephone:

Fax:

Mobile Phone:

Boerboel Stud Name:
(If applicable)

The following information is entirely optional.
It is solely for the purposes of compiling a profile of persons ordering the CD.

	Yes	No
Do you own a Boerboel dog?
Do you own more than one Boerboel dog?
Do you own other dog breeds?
Are you currently breeding with Boerboels dogs?
Do you plan to breed Boerboel dogs?
Are you a member of the SABT?
Are you a member of the HBSA?
Do you belong to a Boerboel club?
Are you planning to purchase a dog soon?
Would you consider a dog from Mizpah?

Send It!

Thank you for your interest in the Mizpah CD!

Link to SABT Web Site Link to HBSA Web Site Send mail to Mizpah Boerboel Mizpah Home

P.O. Box 835, Kroonstad, 9500, South Africa
Tel +27(0)56 213 1801; Fax +27(0)56 212 7095
Cellular: +27(0)82 800 6420
For the speediest response, contact Lucas van der Merwe directly on the numbers listed above.