Deposit Form


Name:                 _____________________________________________

Address:            _____________________________________________

City:                    __________________________,       State:  ______ Zip Code:  ______________

Phone:               ______-______-_______

Cell                    ______-______-_______

Email:                _______________________________


Interested in: (circle one)
German Shepherd/Rottweiler

Sex Desired:  (circle one)
Male         Female        

Do you plan to spay or neuter your puppy?  (circle one)
Yes          No

Which breeding listed online or particular female are you interested in?


If that particular breeding is not available/does not produce enough puppies for your
requirements/dies/do not like , do you understand that your deposit will be rolled over into
another litter of your choice? Deposits are nonrefundable.(circle one)

Yes                   No (if no we will not accept a deposit and will be called only if a pup is available)




Signed _____________________________________________        Date______________

Please include with deposit. Deposit is $200

Checks can be made payable to:

Debbie Willard
905 Private Rd 112
Elizabeth, Co 80107
303-
358-7959

ALL Deposits are nonrefundable.