ADOPTION FORM
This is not a purchase agreement, this form is just a way to find out more about who wants one of our babies. If you do get a baby from us then and only then will this form become part of our contract.
1. Date: 2. Name: 3. Address: 4. City: 5. State: 6. Zip Code: We must have a phone number to contact you. We taking placing our babies very seriously. NO Baby is placed with out personally talking to you. If you submit this form with out a number it will be deleted Sorry.
7. Phone Number: 8. E-Mail Address: 9. Best Time To Call You? Choose One 8am to 12pm 12pm to 5pm 5pm to 10pm 10. Gender Preference? Please Choose One Male Female Either 11. What Temperament Will Go Best With Your Family? Mostly Calm Mostly Active Mostly Even 12. Specific Color Preference: 13. Do You realize your baby will be VERY PRE-SPOILT? Please Choose One Yes No 14. I Knowledge that Home Raised babies places/sales ONLY companion pets. Yes 15. Do You Want A Baby That Is Listed On The Site Now ? Choose One Yes No Undecided 16. If So What Baby: 17. Please read our health warranty Hypoglycemia page... After Reading our health warrantee and the Hypoglycemia page you acknowledge we don't cover Hypoglycemia for any reason at all......? Yes
18. Do You Already Have A Vet? Choose One Yes No 19. Your Vets Name & Number: 20. Who Will Take Primary Care Of The Puppy?: 21. Do You Have A Fenced Yard? Yes No Yard But No Fence 22. Do You Have Other Pets ? Choose One NA Yes No 23. What Kind? Choose One NA Dogs Cats Cats/Dogs Other 24. How Many? 0 1-3 4-6 6+ 25. If you have other dogs what breed are they?: 26. Do You Have Kids? Choose One NA Yes No 27. How Old Are They? N/A 1-5 5-10 10+ 28. Price Range You Want To Spend? Undecided $900-$1100 $1101-$1500 $1501-$2000 $2000.00 and Above 29. How Soon Do You Want Your New Baby? Undecided 1-2 weeks 2-4 weeks 4-6 weeks 6-8 weeks 8-12 weeks 30. Do You Want To Pick Up Your Baby Or Have Her/Him Shipped? Undecided Pick Up Plane 31. What Airport Is Closes To You?: 32. Please Tell Us Why You Would Like a Puppy & List Any Questions Or Comments You Have.
*Credit Card NO CHARGE BACK POLICY*
I the person on this letter have paid for a Puppy using my Credit Card I agree to fore go ANY charge back for ANY reason under their NO REFUND policy. I understand any problems will be dealt with outside of a charge back credit directly with A buddy for you (DBA) Shorkie world. I Understand I will NOT be credited back on my Credit Card account for any reason if I cancel the sale, or are dissatisfied with purchase. I will get refund any money charged by check when proof of refund is deemed necessary. Buyer's acceptance of any animals agrees that this transaction was consummated within the state of Missouri and consents to the application of all Missouri Laws and to the jurisdiction of Missouri Courts. Should a dispute arise out of this transaction. Buyer further agrees that should he default in any obligation of this agreement, he shall be responsible for all attorney fees and court costs involved in the prosecution of this action. Acceptance constitutes An agreement to pay the above listed price and totals, with in agreed terms.
33. If I pay for my baby with a credit card I agree to the "CREDIT CARD NO CHARGE BACK" policy