1) Your Name
2) Your Address
3) Type of Dalmatian you prefer: indoor/outdoor dog, male/female, age
4) List your current pets -- names, ages, type
5) List your former pets -- names, what happened to pet (died, given to friend, shelter, etc.), type --
6) List your vet -- name, location & phone number
7) List one personal reference -- name, phone number, relationship to you
8) Briefly describe what type of Dalmatian you want
9) Briefly describe where the pet will be kept during the day and at night
10) List number of people & ages of household members