| 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. |