GOLDEN PUPS KENNEL #_____
Dam:______________ Sire:______________ Puppies date of birth:__________
A $400.00 deposit is required to hold a puppy. Deposits are non-refundable.
(Name) ___________________________ paid a $400.00 deposit.
Plus (an extra) $_______________ with a remaining balance of $________.00
Paid by: Check #_____ / Cash
I am reserving a (gender) _______________ and will do my pick at 7 weeks of age.
I will pick the puppy up within the first week of the ready date.
Ready date for this puppy is: ______________
The full remaining balance is required prior to pick up.
Purchaser (owners) name: ________________________________________
City___________________________ State: ___________ Zip: _____________
E-mail: _________________________________ Phone: __________________
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.
Purchaser picked the _________________ (color) ribbon puppy.