Fields with * are required.
Current Date:

Please Select all that apply: Click on each desired parent
Litter: Father (Sire)    
No Preference Cutter JD Kubota Pipe Tamper

Mother (Dam)
No Preference Auger Axel Clasp Harvest Hitch
Pivot Rivet Sander Sickle Silo Snow Spring Switch

Buyer: Future owner (this is how you will take ownership with AKC registration)

*Name:
*Buyer's Occupation - Where you work?

Co-owner, if any:
Co-owner's Occupation - Where you work?

Kids Names & Ages:

*Address:

*City: *State: *Zip Code:

*Home Phone:

Cell Phone:

Work Phone:

*E-Mail Address:

Please Check Main Uses:

Pet, Hunter, Hunt Tests, Field Trials, Obedience Trials,

Show, Service Dog, Therapy Dog, Search/Rescue Dog, Drug/Bomb Dog.

Preferred Sex: Male or Female

Will You Take Other Sex: Yes or No

Other Pets:

Will Pup be Neutered or Spayed: Yes or No

Will Pup Need to be Shipped: Yes or No

Nearest Large City to Ship Into:

Please add any other additional comments below:

Please type your full Legal name below in acceptance of all Double B Terms and Conditions, Liability's, Warranty's, Deposit Terms, and in verification that all of the above information is complete and accurate information. We ask that you type in the security code, and check I Accept then submit if you agree.

*I will be held liable and legally responsible for everything stated in this contract.
..............................Full Legal Name.....................................

*Please enter the following security code: and now check I Accept