Application For Adoption

Example of puppy Sales:

~Each puppy is $500.00 plus shipping of $450.00 (if applicable) which includes the Shipping Crate, Health Certificate (required by the airline) and the Airfare to any major US airport. A $300.00 deposit is required to hold a particular puppy, with the balance due by the puppies age of seven weeks old. Payment by Certified Check or Money Order.
The following puppies are available for adoption. Each have their puppy shots as age appropriate, de-wormed, health checked and are ready for their new homes.~

Application:

Brittany's Brittanys Adoption Application
Name: ___________________________________________________
Street: ___________________________________________________
City: _______________________ State: ____ Zip Code: ___________
Phone: ( ) _____-________ Cell Phone: ( ) _____-________
E-mail Address: ________________________________ Nearest MAJOR Airport ____________________
Please complete the following as your preference for the ideal Brittany addition to your family. Our waiting list is developed in the order of receipt of applications and non-refundable deposit of $300.00, which is applied to the purchase price of the puppy.
Please send your payment by certified check or money order payable to:
Brittany Crocker

921 Price Road
Mineral Wells, WV 26150

1) Gender preferred: Male ___ Female ___ either ___
2) Color: (Number in order of color Preference – 1 thru 5) Mark "0" to exclude any color.
Black/White (French Brittany Only)_____ Liver/White _____ Orange/White _____ Light Orange/white_____
3) Coat Preference: Fleece: Straight ___ Wavy ___
4) Preferred date for receiving your Brittany: _______________________________________
5) Do you or your family members have dog related allergies or asthma? Yes ___ No ___
6) Does your household have children? ________ if so, age and name(s): ____________________________
7) Will your puppy be: Living inside the home? _____ Kept in a Kennel? _____
8) Is your family’s lifestyle: Active ___ Somewhat Active ___ Sedentary ___
9) Are any family members physically impaired? _____ If so, will puppy be trained for service? _____
Signature: _________________________________ Date: ______________
Website: www.championbrittanys.blogspot.com email: brittany@gmail.com or brittanycrocker90@gmail.com