Name *

First Name

Last Name

Significant Others Name *

Write N/A if not applicable

First Name

Last Name

Phone *

(###)

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Physical Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

We are located in Middleton, Idaho , which is a long distance from most customers. Please indicate if you will need your puppy flown to your nearest airport. *

Yes

No

Before you continue, please note that we do have a strict spay and neuter contract, stating that our puppies must be spayed and neutered by 12 months of age, at which point documentation must be sent to us.

Yes, I understand and agree

Does anyone in the home have dog-related allergies? We want to ensure everyone can live a healthy new life with the puppy we help you select! *

No allergies

Yes

If a puppy were to become available sooner would you be interested? *

Yes, ASAP

No

All Deposits and Payments are Non-refundable. Upon discretion of the breeder, it may be transferred to a different pup or litter to be used within 12-18 months. A certificate would of course be provided. I am always happy to work with people and want you to have the best pup for your family. Thank you for understanding.

Yes I understand

I understand that a puppy or dog is not reserved until I have placed my deposit. Deposits can be placed via venmo @trojanrick (Rick Harris) / CashApp @lauraharris613 / Apple Pay (208) 989-5629 or ZELLE. I understand that it's up to me to make sure that Laura Has recieved my deposit.

I undersand and agree

Do you prefer a phone call or text message for primary communication.

Phone Call

Text Message

Either is Fine

How did you hear about us? *

Google Search

Referred by a Friend

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