

Full registration, of course, will cost more and will be given to approved homes prior to the signing of this agreement
*Buyer: _____________________________ *Address:__________________________________________
*City:___________________* Prov/State:________ Postal/Zip__________*Country:___________
*Telephone #:___________________* Cellular:________________
*E-mail Address:___________________________________________
*Identification:__________________________________________________
PURCHASE MADE BY BUYER:
Shih Tzu Puppy _____ Gender:______ Color: _________________
D.O.B.___________
Dam:____________________ Sire:____________________
Price:________ Miscellaneous______ Deposit:________ Balance : ________
Paid in full: __________
Pick up date:_______________ By:__________________________________
Shipping date:__________ Via:_________________________________________
Date:____________ Signature of Seller :________________________________
*Date:____________*Signature of Buyer:________________________________