Puppy Reservation Form Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Please tell us a little about yourself.Have you ever owned a Bouvier?* What activities will you and your Bouvier be involved in? Where will the puppy stay? Day? Night? Do you have a fenced yard? All puppies are $2500.00Your $500.00 deposit (if you are in the Phoenix area you can bring cash or a check, if you reside outside the Phoenix area, we will need to make payment arrangements) will reserve a puppy for you until the puppy is ready to be picked up or shipped to it’s forever home.Sex of the puppy?* Female Male No preference Your deposit will hold your choice of male or female, on a first come, first served basis. Tail Docked?* Yes No If you choose not to dock the tail the puppy must be paid for in full. Ears Cropped?* Yes No If yes, there is an additional fee, determined by what my vet is charging. Deposits are non-refundable once the puppy has been born and picked.Deposits are refundable if the pups are not born yet. Your total is due before you pick up the puppy. You can choose to have the tail docked or not, and the ears cropped or not. Cropped ears will be an additional fee determined by what my vet is charging. Dew claws at 3 days old. Up-to-date on shots/de-wormed by my veterinarian. Health check, copies of parents pedigree, microchipped. The ears can be cropped at 7-8 weeks or left natural if you prefer.Puppy must be paid in full 1 week before it is picked up.* Yes (this serves as your initials) This includes any additional fees from vet (tail docked or ears cropped)Additional Time* Yes (this serves as your initials) There is will an additional charge of $75.00 per week if the puppy needs to stay longer than the agreed pick up date.Registration & Health GuaranteeYour puppy is sold as a pet companion with limited registration. Shipping fees will be determined at the the time of shipping (which will include crate, airline fees and health certificates) which must be paid in full before the puppy leaves. The buyer is responsible for all medical expenses incurred after the date of delivery. The pup should not have contact with other dogs/dog parks/road stops until all shots have been given and the pup is protected from any diseases. If the buyer cannot keep the pup for whatever reason, it must be returned back to the seller for re-homing the pup to the right home at the buyer’s expense. Under no circumstance is the pup to be given away or taken to any shelter or rescue. There is a 2 year health guarantee against congenital issues.PhoneThis field is for validation purposes and should be left unchanged.