Perry Farm Doodles Deposit Form

Congratulations! You will be bringing home your new member of your family soon! This receipt is for a puppy deposit in the amount of $300 dollars.
Balance of $1700 is due on adoption day.
Your puppy will be ready to go home no earlier than at age 8 weeks.
The deposit is Non-Refundable (unless sudden unforeseen illness)

Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Deposit for litter born on which date?

Preferred Sex

Male 1Female 2Either 3

Desired Coat

Wavy 1Curly 2No preference 3

Please let me know other preferences etc.

Form of payment

cashcheckVenmo @nadia-ward3Cash App. $Greenlightclinic

Checks made out to Nadia Ward

Mail to : 8047 Perry Rd Grand Blanc, MI 48439

Signature

Date

For office use:

Payment recieved _______________________

Method________________________________