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Wild Rose Standards
Deb Ring
26 Far West Road
Lonepine, MT 59848
wildrosefarms@hotmail.com
www.wildrosestandards.com
New puppy Owner:___________________________________________________________
Address:___________________________________________________________________-
City & State________________________________________________________________
Phone #:_____________________________ Business #___________________________
E-Mail___________________________________________________________________
Sire:____________________________________________________________________
Dam:____________________________________________________________________
Unlimited Registration:_____________________________________________________
Showing:________________________Breeding_________________________________
Limited Registration:______________________Pet/Companion/ Athletic Trials Only
Please Ask about Prices
(Shipping, crate & health certificate, certificate of acclamation, not included in the price of the pup, and are extra. If you would like your puppy spayed/neutered before coming to you there is an charge of 75.00)
Sex: MALE________ FEMALE:______MICRO CHIP# __________________
Preferred Color: Black:_________ White:__________ Brown:__________ Apricot:______ Creme:________ Blue:___________ Silver:__________Red:__________ Café Au Lait:____________ Silver Beige _________________
(Mark 1st, 2nd & 3rd, Etc. color/sex choices where more than one color/sex is acceptable to buyer)
Deposit of $250.00 required to hold pup of choice:
Deposit of :____________ Date Sent: ______________________________
Check No. ______________ Money Order No. ______________ Cash.______________ Appropriate CONTRACT( Limited/unlimited) needs to be printed, completed and signed by buyer at the same time puppy deposit form is submitted to breeder.
If puppy is being shipped, final payment is required at the time the puppy reaches 6 weeks of age. This includes the balance on the pup, airfare charges, crate and Health Certificate cost.
If puppy is (NOT) being shipped, payment by (CASH) is required at time of puppy pickup.
Signature Of Buyer:______________________________________________________________
Date:______________________________________________
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