Puppy Form

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CONTACT INFORMATION

Your Name (required)

Your Street (required)

Province/State:

Home Phone:

Best Time to Call:

Your Email (required)

City:

Postal/Zip Code:

Work Phone:

PUPPY/DOG PREFERENCES

Gender:

Desired Purchase Timeframe:

GENERAL QUESTIONS

Will this be your family's first dog?:

Does anyone in your family suffer from allergies?:

Do you have a fenced yard?:

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

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

Will you be attending obedience class with your puppy?:

Do you have a veterinarian picked out?:

Other Pertinent Information:

NOTES:

All purchases require a $500 deposit to be applied to the total purchase price of your puppy. Vom Issam Haus reserves to the right to choose not to sell to some clients.

I agree to the above statement(s) and also agree that any false information provided in this agreement will cause immediately cancellation of a sale, at the discretion of Vom Issam Haus kennels