Puppy Information:

Breed: ______________________ Sex: ________  Color: _________________
Dam:  ____________________________________________________________
Sire:   ____________________________________________________________
Date of Birth: _____________________
Breeder: Jerilynn McRae and Trish Gross   
Purchase Price: _______________________ Date of Delivery: _______________
*Shipping charges are extra and will be calculated when shipping has been arranged.  
Airport being shipped to:__________________________

Buyers Information

Name:_______________________________  Address:_______________________________
City:_________________________________ ST:_______________________________
Zip/Postal Code: _______________________Phone: _________________________________

Buyer is aware of and has read over our Health Guarantee: Initial:_____________

Your puppy  will come to you with 1st set of vaccinations, wormed, tail cropped and dew claws
removed. Puppy will have a vet check up at 8 weeks of age and again when shipped. If there are
any problems, you will be notified at that time and decide on the appropriate action.

Signatures:

Seller:_______________________________________  Dated: ____________________

Buyer:_______________________________________  Dated: ____________________