Deposit Form

Deposit Form
Our choice for a puppy is from the following litter (please list dam's name)
Our choice for a puppy is from the following litter (please select dam's name)
We are interested in
We want the following registration type
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Deposits are non-refundable and will not be returned if you change your mind.
Deposits can be transferred to a subsequent litter where availability exists, however deposits will become null and void after a time period of one year and will remain non-refundable.
Should something happen to the reserved puppy, another puppy from the current litter (if available) or from a future litter will be offered and the deposit will transfer to that puppy.
I understand that if the puppy I reserved is not available in the litter I desire, that I may move to a another litter in the next available spot
I understand that if I am shipping/transporting my puppy home that I am responsible for all shipping/transport costs and those costs along with the full balance due must be paid in full no less tan two (2) weeks prior to the ship/transport date.
I understand that if I am picking my puppy up at the farm or if the breeder is delivering my puppy to me that the balance is due in CASH at pickup or delivery.
I have read the sale contract / health guarantee and understand the terms and conditions set forth therein. https://form.jotform.com/242263734084052
I have read this agreement and understand its terms and conditions.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I will use the selected deposit type. I understand that the deposit is not complete until I have made the deposit of $100 including a 3% convivence fee.
Should be Empty: