GOLDEN PUPS KENNEL Dam: _________________ Sire: __________________ Puppies date of birth: _________________
I picked a (gender) _______________ with a (color) _______________ ribbon. (Name) _______________________________ Paid $ __________.00 by Check #______________ / Cash
Purchaser (owners) name: ________________________________________ Address: _______________________________________________________ City_____________________________ State: ________ Zip: _____________ E-mail: _______________________________ Phone: ___________________
Signatures: Date:_____ New Owner: ___________________ Breeder: ________________
Where did you hear about us? ____________________________________ If you refer us to someone and they purchase a puppy. You will receive a $50 visa card. Or If someone else referred you to us that has purchased a puppy from us, tell us who and they will receive a $50 visa card. |