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If you are interested in being place on our waiting list for a Golden Retriever Puppy or Labrador Retriever Puppy, Please fill out the Application Below. When a reservation for a puppy is placed, a $100.00 deposit is required at time of the puppies birth and is non-refundable. Balance of the puppy purchase price will be due upon possession of the puppy by the buyer. Our Puppies are sold on AKC Limited Registration unless other arrangements have been made. If you have any questions please feel free to send us a email. Mike & Cindy Fisher MiCin's Retrievers

First Name:

Last name:

Address:

Phone Number:

City:

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Zip:

E-Mail Address:

Select Type Pet Quality Female Pet Quality Male Breed Quality Female Breed Quality Male Does not Matter

What type of puppy are you interested in?

Select One Golden Retriever Labrador Retriever

Type of Retriever Interested in?

Select When As soon as possible In the next 3 months In the next 6 months Next year It does not matter

When are you interested in getting a Puppy?

Have you ever owned a Retriever before?

Yes:

No:

Do you plan on crate training your puppy?

Yes:

No:

Do you plan on taking your puppy to Puppy Kindergarten, Or Obedience School?

Yes:

No:

Have you owned a dog before? If yes, please explain.

Yes:

No:

Do you currently have any pets? If yes, please explain.

Yes:

No:

Do you have a fenced yard?

Yes:

No:

Will your puppy live inside?

Yes:

No:

Please tell us a little about yourself: