MULBERRY FARM KENNEL
PUPPY DEPOSIT FORM

CLIENT NAME :__________________________________________________
ADDRESS :__________________________________________________
 __________________________________________________
E-Mail :__________________________________________________
HOME PHONE :( _____ )  ________________________________
WORK PHONE :( _____ )  ________________________________

DESIRED BREED :
 _____  Cockapoo _____  Schnoodle _____  Cocker Spaniel _____  Schnauzer

GENDER :
 _____  Female _____  Male _____  No Preference

COLOR PREFERENCE  (Please CIRCLE Choice) :
ApricotBlackBuffChocolateSableBL/WH PartiBuff/WH Parti
Choc./WH PartiSable/WH PartiChoc./TanPhantomOther (Specify)  ______________________

SIZE :
 _____  Small (8 - 12 lbs.) _____  Medium (13 - 20 lbs.) _____  Large (20+ lbs.)

PUPPY DEPOSIT FEE
* Deposit$ __________Date :  _______________
* -  Puppy is chosen from litter which has already been born.

 > > > > > Deposit is NON-REFUNDABLE unless chosen pup becomes unsaleable. < < < < <

DEPOSITOR'S SIGNATURE (required) :  ___________________________________________________

COMMENTS :  ____________________________________________________________
RESOLUTION :  __________________________________________________
REFERRED BY :  ____________________________________________