Puppy Form

Home / Puppy Form

Contact Information
Your Name*
Your Email*
Address*
Street Address Address Line 2 City Province Postal Code
Home Phone*
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
I agree

Contact Information