Puppy Reservation Form
Harborlight Newfoundlands

Your Name __________________________________________________________

Address _____________________________________________________________

Phone #1 __________________________ Phone #2 _________________________

Email Address ________________________________________________________

Best time and method to reach you: _______________________________________

Have you emailed or spoken with someone from Harborlight Newfoundlands about
your interest in purchasing a puppy?_______________________________________

When would you be ready for your puppy? __________________________________

Would this puppy be flying or would you be driving to pick up your puppy? ________

I want to reserve a (Male)  (Female) puppy.  (Please circle your preference). 

Would you consider taking the opposite sex puppy if only that is available from the next
litter?    Yes           No     (Please circle only one).

What color puppy are you reserving?  Black         Black with White on Chest

Please circle your temperament or confirmation preferences:

Large Puppy                                                  Large as Adult
Laid-back                                                      Active
Slobbery                                                        Less Slobbery
Show quality                                                 Pet/Companion quality

Reservations are accepted only when accompanied by a non-refundable deposit in the amount of $300.00 (US dollars).  Checks, Money Orders, and Cashier’s Checks must be made out to:  Jacquelyn Hexham.  Please write Harborlight Puppy Deposit on the memo line.  In the unlikely event that a puppy is not available within twelve months, you have the option of canceling your reservation and receiving a full refund of your deposit or transferring the deposit to a subsequent litter.  If you choose to transfer your deposit to a subsequent litter for your convenience and not because of puppy availability, you may be charged the current rate for a puppy from that litter.
___________________________________  ____________________________________
Purchaser                                                                    Date            Purchaser                                                 Date
 ___________________________________  ____________________________________
Breeder                                                                       Date            Breeder                                                    Date

Please complete and sign this form and mail along with your deposit to:
Jacquelyn Hexham, Harborlight Newfoundlands, 522 Oak Ridge Drive West, Traverse City, MI USA 49684.
A copy will be signed and returned to you upon availability of funds from your bank.

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