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Puppy Application
Thank You for considering one of our puppies to add to your family. If you would like to be considered for one of our puppies, please feel free to fill out this form, and we will get back with you promptly.
Name:
Address:
Phone Number:
Cell Phone Number:
Best Time to Call:
Email Address:
I would Like a:
Breed You Prefer:
Name of Puppy You are Interested in:
Will we need to Ship?
If yes, to which Major Airport:
#1 Choice
#2 Choice
Where did you see Puppy Advertised?
Which Payment Method do you Prefer?
If using Paypal, please list Email Address of your Paypal Account.
Questions:
Thank You for investing this time in your search for a new puppy.
Puppy Interest Information
City, State & Zip
I HAVE READ AND UNDERSTAND THE HEALTH GUARANTEE PLUS SHIPPING INFORMATION REGARDING THIS PUPPY.  I AM 100% COMMITED TO THE PUPPY OF MY CHOICE . I  ACKNOWLEDGE THAT I WILL BE  RESPOSNIBLE FOR THE WELL BEING OF HIM/HER.  ALL DEPOSITS MADE ARE NON-REFUNDABLE.
BY SUBMITTING THIS FORM, I AGREE TO THE DOCUMENT IN FULL.
Would You Like the "AKC Puppy Protection Package"?
I have Read and fully understand the shipping Process
* I certify that I am 18 years of age or older, and I am authorized to use my payment method selected *
Before clicking yes, please view package information link to the right.
If you chose the AKC Puppy Protection Package Program, Please complete this section. If you did not choose the package, please scroll to the bottom and click "Submit"
New Owner(s) Name:
This is who your puppy will be registered on on the AKC Paperwork and the Microchip Registration. Include first and last name(s).
Address:
Phone Number:
Best Phone number for Microchip Registration, in case pet is lost.
Official AKC Name of Puppy:
If you are not sure yet, please be thinking of a name and let us know for registration.
Thank you for taking the time to complete all of your info.
Would you like a personalized engraved name tag for your puppy?
Price is $10.00


Pet name for Front of Tag-
Color choice for Tag-
Phone number for Back of tag
MaleFemaleNo Preference
YesNo
PaypalWal-Mart Money GramCredit Card (Visa/Mastercard/Discover)
GooglePuppyfindFacebook
I AgreeI Disagree
YesNo
YesNo
YesNo