Petite Posh Puppies

Breed*

Gender*

Color*

First & Last Name*

Phone number*

Email*

example@example.com

Mailing Address*

Join our VIP (Very Important Puppy) Wait List. This $200 deposit reserves you a spot for a specific puppy you desire such as breed, gender, and color. I {name} confirm that I have spoken to Petite Posh Puppies and understand that this deposit is non-refundable. I wish to join the VIP Wait List for the following type of puppy: {breed}.

(Please add 3% if you are using Credit/Debit)
(Please add 6% if your address is in the state of GA.) Please text (404) 433-0125 to confirm your payment amount if you are unsure.

Payment Type*

Securely submit your deposit below.*

VIP Waitlist Deposit

$200.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

CLICK HERE TO PAY VIA GOOD DOG.

Signature*

Date*

Date

Puppy's Info

Your Info