Puppy Name _________________________________________________________________________________________________________________________________
Puppy Breed _________________________________________________________________________________________________________________________________
Dam _________________________________________________________ AKC Registration # _____________________________________________________________
Sire __________________________________________________________ AKC Registration # ____________________________________________________________
Date of Birth __________________________________________________ Sex _____________ Color ________________________________________________________
AKC Litter Registration # ______________________________________ Microchip ______________________________________________________________________
Selling Price __________________________________________________ Shipping / Delivery Charges _____________________________________________________
Deposit Price _________________________________________________ Date Paid ______________________________________________________________________
Remaining Balance ____________________________________________ Date Paid ______________________________________________________________________