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Puppy Reservation Form

If you have talked to me and would like to Send a Deposit in Please print this form and mail it to me.

Make postal money orders payable to Cindy Miller 


Received from:_________________________________________Date__________ $250.00 as a deposit on one Chorkie Puppy. The deposit will be taken off the cost of the puppy.

Address:______________________________________________________________________________ City:_____________________________________State:_________________Zip:_________________ Phone:__________________ Fax:______________________E-mail:__________________________


This deposit is for a Male____________  Female___________ puppy. P


If no sex of puppy is available from the mom you choose with in 12 months your deposit will be refunded to you or you may have the choice hold it over for the next litter, or choose another mom. If there is only one sex of puppy born you must take that baby or lose your deposit. If several sex puppies are born you must pick your baby no more then 7 days after the pictures are put on our web site. We must receive another 250.00 after the puppy is born and you pick you baby. We must receive this by the time the baby is 14 days old. If you don't pick a baby with in the 7 days the next in line will have first choice. The date your deposit is received determines your order of pick. Please be aware we do not manufacture dogs, we are at the mercy of nature and therefore cannot guarantee delivery by any specific date. This deposit is only refundable if we cannot supply you with a puppy with the sex you stated in this form from the mom you want with in 12 months.  If you elect to pass on a litter that is available to you, your deposit becomes non-refundable. After you talk to me you can mail this form to