Puppy Reservation Form – Crossroads Canine

Puppy Reservation Form – Crossroads Canine

Please complete this form to reserve your Doberman puppy from Crossroads Canine. A non-refundable $1,000 deposit is required to secure your place in the litter selection order. Puppy selection is based on the order deposits are received. I will personally assist you in selecting the puppy best suited to your needs.
Buyer Full Name*

First NameLast Name
Buyer Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email*
example@example.com
Buyer Phone Number*
Please enter a valid phone number.
Sire Name and Dam Name (eg. Exodus X Ezra)
Sex of Puppy*

MaleFemaleNo preference
Color preference (optional)

Black/RustRed/RustNo preference
✅ A $1,000 non-refundable deposit is required to reserve your puppy.

✅ Deposits are applied toward the final purchase price of $4,000.

✅ Puppy selections are made in the order deposits are received.

✅ The remaining balance of $3,000 is due prior to puppy shipment.

✅ Deposit is non-refundable but transferable to a future litter at the breeder’s discretion.
Date of Birth (if known)

My Products*

Deposit for PuppyThis deposit reserves your Doberman puppy and goes toward the total price of $4,000. Non-refundable, but transferable at breeder’s discretion.

$1,000.00 Quantity

Total

$0.00

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

Buyer Signature*

Clear
Should be Empty: