Theresa Gilchrist (Breeder), RR 1, Pickardville, AB, T0G-1W0, Phone# (780) 349-2868
Receipt for Deposit
Should Purchaser decline to purchase above named dog, the $500.00 deposit will be held to cover expenses to locate a new Purchaser. Deposit of $500.00 is non-refundable.
The Purchaser agrees if for any reason they cannot take care of below named dog that they will return below named dog to above named Breeder. Purchaser agrees not to sell or give below named dog to any person or establishment except to above named Breeder without above named Breeder’s permission.
E-mail address: _____________________________________
Phone (home): _____________________________________
Alternate Phone: ___________________________________
Litter & Dog Information
Name of Reg. Dog: __________________________________
CKC Litter Reg. #: __________________________________
Date of Birth & Sex: _________________________________
Colour & Markings: _________________________________
Tattoo #: __________________________________________
Sire’s Name & Reg. #: _______________________________
Dam’s Name & Reg. #: ______________________________
Total price of above named dog: $__________ Amount written _________________________
Amount owing $__________ Amount written________________________ ,
to be paid in full upon taking possession of above named dog on __(Date of Possetin)__.
Failure of Purchaser to take possession of said dog within two days of possession date will automatically begin boarding costs @ $21.00 per day and must be paid at the time the Purchaser takes possession of said dog.
Signature of Breeder (Seller): __________________________ Date: __________
I/We have read and understand the above and agree to all terms and conditions contained therein:
Signature of Buyer (Purchaser): ________________________ Date: _______________