USA

Puppy Application Form

Your Name:
Email Address:
Home Phone:
Cell or Work Phone:
Mailing Address:
City, State & Zip Code
What litter are you interested in:Sire Dam:
Are you interested in a Male or Female or No
Preference.

Color:
Are there other pets in home?
Indoor or Outdoor dog? And where will your
golden live?

Do you have a fenced yard?
What is your interest in a Golden Retriever?
What will your main use be with this puppy?
Do you have children? If so ages?
A $300.00 non-refundable deposit will hold a
puppy. We take Money Orders or Cashiers Checks
made out to and mailed to: Kim Schnider, 29794 N. Wheatridge Rd., Athol, ID  83801
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