Customer Name: ________________________________________________________


Address: _______________________________________________________________


City: _______________________ State: ___________________ Zip: ______________


Phone Number: __________________________ Email: _________________________


Breed of Dog: _________________________________ Date of Birth: ____________


Female ( ) Male ( ) Color: ______________________________________________


Registration(s): _________________________________________________________


Mothers Name: _______________________________ Registration #: _____________


Fathers Name: _______________________________ Registration #: ______________


Agreed purchase price of above listed dog: $________________


Non-Refundable Deposit: (Personal Check accepted for deposits) $ ________________


Transport &/or Misc. Costs: $ ________________


Additional costs incurred with purchaser approval: $ ________________


Balance to be paid at time the purchaser takes possession of dog: $ ________________

A $200 non-refundable deposit is required to hold a puppy and agreed to by the signing of this contract by purchaser. Final balance paid on puppy has to be in the form of Cash, Money Order or Cashiers Check before the purchaser obtains possession of the puppy. No personal checks will be accepted for unpaid balances.

This deposit and signed deposit contract signifies the intent of the signed party to follow through with the purchase agreement.


It has been mutually agreed by both parties that the puppy will be held until age appropriate for placement in buyers home. The seller reserves the right to void this transaction by way of. if the chosen puppy becomes unavailable for some unforseen reason due to health issues before puppy is obtained by purchaser by all means the deposit would be retuned unless buyer wished to accept a replacement puppy for same purchase price.


I have read the above, understand and am in agreement with this contract as evidenced by my signature below.


Purchaser: ________________________________________ Date: _________________

Norm & Lea Dill
Phone (315) 986-3026, Fax (315) 986-7479,