Your Name (required)
Your Street (required)
Province/State:
Home Phone:
Best Time to Call: AnyMorningAfternoonEvening
Your Email (required)
City:
Postal/Zip Code:
Work Phone:
Gender: EitherMaleFemale
Desired Purchase Timeframe: ASAP1-3 months3-6 monthsother
Will this be your family's first dog?: YesNoNA
Does anyone in your family suffer from allergies?: YesNoNA
Do you have a fenced yard?: YesNoNA
Are you aware of how much time a puppy will take?: YesNoNA
Are you committed to caring for this puppy for it's lifetime?: YesNoNA
Will you be attending obedience class with your puppy?: YesNoNA
Do you have a veterinarian picked out?: YesNoNA
Other Pertinent Information:
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
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