Health Guarantee Application ***NO EARLY DEPOSITS…Deposits are only taken when a puppy has been assigned a code & advertised on the available puppy page*** ***A puppy is reserved ONLY when a deposit/health guarantee form & PayPal deposit have been received. NO EMAIL or PHONE CALL claims will be valid*** Puppy I.D. Number*Dog BreedMale or Female*MaleFemaleBuyer's Name* First Last Email Address* Phone Number*Buyer's Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Puppy's date of birth* Date Format: MM slash DD slash YYYY Click Here to Read Our TermsBuyer's Signature* First Last Date of Sale* Date Format: MM slash DD slash YYYY Puppy Deposit* Price: $200.00 Quantity: PhoneThis field is for validation purposes and should be left unchanged.
