Puppy Application

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Puppy Application

Email *

Name *

Phone number *

Address *

City *

State *

Zip Code *

Have you ever owned a dog before? *

Yes - A Samoyed

Yes - other breeds

Why would you like to adopt a Samoyed puppy?

I am interested to adopt a *

Male puppy

Female puppy

either Male or Female puppy

Family status

Family with kids

Family with no kids at the house

Single

Other:

Clear selection

Geography and Housing *

City

Suburb

Country

Other:

Do you have a fenced yard *

Yes

Other:

Where will the puppy live? *

In our house

Outside

Other:

Pick Up Preference *

$0 - I will come to pick up my puppy

$900 - I need my puppy delivered to NY, PA, MA, CT, NJ

$1,800 - Delivery to other states in the USA

Terms: This application is for the purchase of a Samoyed puppy, which can be registered by completing and mailing a registration form to the AKC. The registration is limited, meaning only the puppy can be registered, not its descendants. Full registration is possible only with written consent from NY Samoyeds LLC. A deposit is required to reserve the puppy, and without it, the puppy will not be held. Deposit fees are non-refundable. The puppy will not be released to me until full payment has been received. NY Samoyeds LLC reserves the right to cancel the purchase and any further transactions at any time before the puppy is delivered to me. *

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