Application

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Puppy Application
 Thank you for your interest in one of our puppies.
 

If you are ready to send in an application please answer the questions below and submit your application for review.

Once you are approved for adoption we ask for a $200.00 deposit to add you to our waiting list.

Deposits are non-refundable and will be applied to the total purchase price of the pup.  Please contact Helen 519-528-5180 or e-mail me at goldenbelle@hurontel.on.ca with any questions.


Please provide the following contact information

 

Name                            

Street Address  

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

FAX

E-mail:

 

  Do you prefer M/F:     ?

 

  Colour:      ?

 

  What breed are you interested in:     ?

 

  Do you want to reserve a puppy from a specific litter:     ?

  Yes No

  If yes which litter or which month:     ?

 

  *Does anyone in your family suffer with allergies:     ?

  Yes No

  Will this be your families first dog:      ?

  Yes No

  Are you aware of how much time a new puppy will take:      ?

  Yes No

  Are you committed to caring for this puppy for it's lifetime:      ?

  Yes No

  Do you agree to spay/neuter your puppy before 8 months of age:      ?

  Yes No

  Date:             -- mm/dd/y

  Signature:     

             

 


 

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