Name
Address
City, State & Zip
Home & Cell Number
Email Address
Estimated shipping date / pick-up date
2 International Airport's if applicable
Date of Birth
Puppies Name
Breed - Color - Sex
Price
Are you wanting this puppy for breeding?
Are you wanting this puppy for a Pet only?
I agree to be a future reference?
If Yes I Prefer method of contact by email and or phone?
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Comments or Questions
Required Information
Health Certificate and Flight Information
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