Laura  Miller    6893 Jug Point Road,  Durhamville, New York 13054

            Only Money orders or  Cashier checks, please.

1 st Call House- (315) 761-4091 and leave message......... Cell (315) 762-5459

Please ask your questions... before Reserve or Deposit is sent. It is non refundable.

                                     Good for only one year from date received.

                Reservation & Deposit Information Sheet    

Date-    Website: www.annespuppies.com    Name __________________

Reserve in the amount of  $ ______________ Reserves are 100.   

Reserve entitles you to pick in order, by picture, Only.

 

Deposit is to hold a puppy till pick-up: amount is half  $  _______Deposits are half the puppy price...Limited AKC (includes solids and black faces) 

 Name          

 Address      

 City, State and Zip Code

 Phone Number              Cell Number     

 

E-mail   Had a Shih Tzu before? ___Yes or No___ 

 Please pick one:    Male      Female         Either sex is O.K.     Not sure

Please pick one:     Parti- Colors (Wh. w/ any color)   Solid Color  Not sure  

Please pick color:     Gold    Brindle    White (Mostly)    Not sure

                                Chocolate/Liver       Red/ Black Mask    __ Black & White

                                Solid Black (1200.)  __ Solid White (1200.)

 

  All Solid Blacks and Solid Whites are full price of 1200. But maybe reserved before born.

   Reserves and/or  Deposits must be applied and used with in one year: and are non-refundable.

Special : Want a free Dummies Book? Yes____ or No____

Do you have children under 12?____Yes or No___         

If there is anything you feel I should know!