Reservation

  Micenko's Reservations for 2009/2010

  Only Money orders accepted

Breed :

Date:

Address:

Zip:

Preferred Color:

Intended

Use of Dog:

Recieved From:

City:

$200 Non-Refundable Deposit on One AKC registered Puppy

Phone:

Country:

State:

Sex:

Please check the appropriate box:

Buyer's Signature:                                                                                 

Seller's Signature:                                                                                 

Date:                          

Date:                          

Please Print and Mail to Traci Micenko, P.O. Box 2207, Lower Burrell, PA 15068.  Once received, you will be mailed a receipt.  Please be aware we are at the mercy of nature and cannot guarantee delivery by any specific date.  This deposit is only refundable if we cannot supply you with a puppy AND if you check the refund deposit box above.  If you elect to pass on a puppy available to you, your deposit becomes non-refundable, however you may remain in line for a puppy at any time in the future that may be more convenient to you.

MaleFemale

Newfoundland PuppyNewfoundland Adult

Please call me when a puppy is available, regardless of color or sex.

If puppy is unavailable during the current breeding season, please hold my deposit for the next available puppy.

If puppy is unavailable during the current breeding season, please refund my deposit.