PERFECT PEKS KENNEL

Name: ____________________________E-Mail Address___________________________

Address: ____________________________City___________________________State:___

Home Phone:____________________________ Cell Phone:_________________________

Amount Of Nonrefundable Deposit: ________________  Shipping :___________________

I Fully understand that this is a nonrefundable deposit to hold the said puppy.

This ensures that the puppy that I have made my deposit on will be held for me and will be shown as hold on the Internet /will not be offered for sale. I understand that this is a NON-refundable deposit, and if for any reason I cannot follow through I understand that I will lose my deposit. My deposit will be applied toward re-listing the puppy for sale and re-kenneling fees. 

I, ________________________, agree to pay the remaining balance of $_____________, plus a shipping fee (if applicable) of $____________________ for the following puppy (circle one) male/female, pekingese, pekapoo, poodle, Pomeranian, AKC/CKC born on _________________________, 2011 to dam:_________________, sire_________________. Puppy to be (circle one) shipped/picked up, balance of puppy is to be paid on or before pick up/delivery by money order or cash. I understand that if I have not picked up the puppy by 8 weeks old, and no other verbal or written agreement has been reached between Perfect Peks Kennel and ______________________ other than this agreement, Perfect Peks Kennel WILL re-list the puppy and I WILL lose my deposit. I understand that the deposit is non-refundable.

Buyer Signature :__________________________ Date:____________________

All forms must be filled out and signed and sent along with deposit to the following address:

Kathy Belaire

Opelousas, La

(337)290-9782

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