Dom & Norene Szechenyi
31119 59th Ave NW
Stanwood, Wa 98292
Phone: (360) 629-7504
Email: nordomsze@msn.com
PUPPY DEPOSIT AGREEMENT
This deposit is made for a puppy from the litter described below:
Sire: HRCH CH INTL CH* Nordom's Apache Rebel MH WDQ
Dam: CK'S Mo Money SH WDX
DATE OF BIRTH (OR APPROX.DUE DATE if Applicable): November, 14 2008.
This deposit is for a (Male) - (Female) CIRCLE ONE.
Purchase Price:___________Deposit Amount: $200.00 PRIOR TO WHELPING.
I understand that once Litter is whelped an additional amount is due to equal 1/2
the total purchase price of pup.
I understand that the balance of puppy price is due at the time I pick up the Pup or
Prior to shipping of the pup, should that be required.
Pup will be able to be picked up and/or shipped no sooner than 7 weeks of age and
on the day & date set forth by breeder.
The puppy deposit is NON-REFUNDABLE, except under the following conditions:
~Nordom Chesapeakes does not have a puppy for the prospective buyer(s) because
of death, injury or illness of puppy.
~If unable to provide a puppy, Nordom Chesapeakes will apply the deposit to the next
available litter, or refund the entire deposit, as per the prospective puppy buyer(s).
NOTE: We, Dom & Norene Szechenyi (Nordom Chesapeakes) reserve the right to
refuse to sell puppies to individuals if it is deemed the prospective buyer(s) or the home
is not appropriate, even if a deposit has been made. In this case the puppy deposit will
be refunded.
I have read and understand the above. I agree to abide by the rules of this agreement.
Puppy Buyer(s) printed name:_____________________________________________
Address: (printed)_______________________________________________________
Email address:________________________Phone Number:____________________
Purchaser's signature:____________________________________Date:___________
Mail In Puppy Deposit Form