Puppy Adoption Application

Date
Litter
Buyer: Future owner
Co-owner, if any
Address
Address cont
City
State
Country
Zip Code
Home Phone
Work Phone
Fax
Email Address
Main Use
Other Uses
Sex
Will You Take Other Sex
Type of Registration: Limited Registration means that the Puppy is registered but no litters produced by this puppy are eligible for registration. This AKC procedure helps protect established breeding programs. These dogs can be shown in obedience trials, field trials, and hunt tests. Note price differences on individual Litter Information sheet. SOME LITTERS ARE SOLD WITH FULL REGISTRATION ONLY, so check the individual litter information for pricing.
Type of Registration

Color Preferred
Childrens Ages
Other Pets
Will Pup be Neutered
Will Pup need to be shipped
Nearest Large City to Ship Into

Credit Card number (Visa & MC only) *
Expiration Date

We will deduct the $200 DEPOSIT from your CREDIT CARD or send us your deposit via the U.S. Postal Service. By submitting this form, it is Agreed that you have read our Warranty and agree to its Terms and Conditions in Full. Cancellations will forfeit a $50 processing fee unless there is no puppy available from the litter specified.
Other Comments

Payment by PayPal:
After clicking the SUBMIT button you will be given the option to pay by PayPal