| WENDI SHAW STARGAZER LABRADORS PO BOX 1752 CONWAY, NH 03818 603-986-4184 RESERVED PUPPY CONTRACT SIRE: STARGAZERS SIR BOSLEY'S SAMSON UNLESS OTHERWISE STATED DAMES: STARGAZERS LADY OF AMAZING GRACE STARGAZER REMINISCENCE OF DAYS PAST SOKOIS VALLEY LADY JANE OF STARGAZERS SUZANNES EVENING AT STARGAZER'S STARGAZERS LADY ROXY RED FOXY PET PUPPY PRICE $800.00 - $900.00 I AM REQUESTING TO HAVE A PUPPY MALE____ FEMALE ____ COLOR: YELLOW _______ BLACK _______ CHOCOLATE ________ OF THE DAME # ____ NAMED ABOVE HELD FOR ME. I AM ON THE WAITING LIST TO CHOOSE MY PUPPY. MY CHOICE NUMBER WILL BE FILLED IN WHEN I TALK TO BREEDER #_______. ENCLOSED IS MY DEPOSIT IN THE AMOUNT OF $150.00 THE DEPOSIT IS NON-REFUNDABLE, NAME:______________________________________________________ MAILING ADDRESS ___________________________________________ STREET ADDRESS_____________________________________________ TOWN _______________________________________________________ STATE_____________________ ZIP_______________________________ HOME PHONE ________________________________________________ CELL PHONE__________________________________________________ EMAIL ADDRESS______________________________________________ ___________________________________ ____________________ SIGNATURE DATE SEE EXAMPLE OF FILLED IN CONTRACT |