PO Box 547
Jemison, Alabama 35085
Puppy Reservation Form
Day Phone_________________Evening Phone_________________
Litter SIRE X Dam__________________X____________________
Preferred Gender Male_______ Female_________
Preferred Coat Color Black__________
Is your deposit conditional on; Gender Preference Yes No
Color Preference Yes No
If the deposit is conditional it will be refunded if we are unable to supply the gender, or color that you have selected.
Please tell me how you
will use your dog. Family pet, hunting, hunt test, field trials.
Please tell me the most
important qualities you would like in a dog. Conformation, size, color,
retrieving desire, nose, calm, excited, dominate, submissive, attentive to
people. Etc. (use Back of form if
Will you pick pup up( ) or Have pup shipped( )
Puppies will be shipped from the Birmingham airport (BHM). Name of airport would you like the pup shipped to;
Cost of Pup____________- _____________ deposit =______________Due before delivery
Please return this form with your $100 non-refundable deposit. You will be notified of your pick number.
Date Deposit Received__________________Pick Number_________