Puppy Purchase Application

          PRINT   & FAX  or SNAIL MAIL

Send to the breeder with your Payment in the mail.

                   ( PLEASE PRINT ONLY )
                  
___________________________________________                    Your Full Name
___________________________________________
 Name of Person' s authorized to pick up your Puppy at the Airport.
 
Your  Home E-Mail Address:____________________________________

Your  Work E-Mail Address:_____________________________________

Other E-Mail Address___________________________________________
 
Home Fax Number:_____________________________________________

Work Fax Number:_____________________________________________

Street Address:________________________________________________
 
City:    _______________________________________________________        
 
State:      ____________________________________________________
 
Zip Code ____________________________________________________
 
Home Phone: _______________________________________________

Work Phone : _______________________________________________

Cell Phone : ________________________________________________

Pager: ______________________________________________________
 
Puppy Number that you want to purchase: # ______________________

If you are interested in more than one puppy.

_____________________________________________
Please let me know what is your First, Second and Third Choices.

Breed:_______________________________________

Sex:_______________________________________________________

Size : ______________________________________________________
 
Color : _____________________________________________________

First Choice of Airport:_____________________________________

Second Airport Choice:_____________________________________
 
Third Choice:______________________________________________
 
Your Waiting List # I.D. Number:__________________________

Are you a Previous Customer?     YES OR   NO

Signature of person submitting Puppy Purchase  Application:
 
Sign Here:________________________________________________

Only list Airports that you are willing to drive to. I do not know the distance from the Airports to your home. And prefer that you list only the ones you are willing to drive to.
   
              CIRCLE YOUR CHOICE BELOW
 
If Available do You want your puppy registered?  YES  or NO
 
Crate Upgrade ( Add $10.00 )   YES  or NO
 
Method of Payment:  Pay Pal  -  Western Union
    
 Personal Check from: Bank One or Bank Of America
 
   Cashiers Check or Money Order in the Mail
 
Ask breeder if they have a FAX Number? If sending a FAX works better for you.

You can also print this application and send  it in  the mail with your payment to:       Breeder

Please send a copy of your Puppy Purchase Application if  possible when you are sending it in the mail.
 
_______________ END OF APPLICATION _______________________

* IMPORTANT  Put These Words In Your E-Mail Subject Line:

 Subject Line: PUPPY PURCHASE APPLICATION FOR PUPPY # ? ? ? ?

All e-mails that have these words in the subject line are automatically moved forward by our e-mail system and answered first.

IF YOU INCLUDE ANYTHING ELSE IN THE SUBJECT LINE YOUR E-MAIL MAY GET OVERLOOKED.

PRINT THIS APPLICATION if you are having a hard time filling out a Puppy Purchase Application over the Internet.