ADBT - German Shepherd Dog/Puppy Purchase Request Form

I _______________________(Buyer) request to purchase a purebred German Shepherd Dog from ADBT. I am wishing to purchase a (Circle one) dog/bitch from the (A,B,C,etc.) _____ litter whelped or due to whelp on _____/_____/_____. Sire of the litter is ____________________. Dam of this litter is ____________________. I am wanting to purchase this puppy to be used for (circle all that apply) sport, protection, family companion, sar, possible breeding stock, police service, other. If other, please explain. ____________________________________________________________________________

I (Buyer) am sending a deposit in the amount of $300 USD to hold a puppy in reserve and fully intend to purchase the puppy by sending the remaining balance of $__________ USD by the time the puppy reaches 6 weeks of age. I understand that this deposit is NON-REFUNDABLE and may have to be applied toward another puppy from another litter if no puppy is available for me from the litter described above. I also understand that I will have to pay an additional amount of $300 USD if I need to have the puppy shipped. I understand this additional amount will cover the cost of a crate, veterinarian health certificate, transportation to Anchorage International Airport and the actual shipping expenses via the airline that best serves me.

I have read and understand the health guarantee that comes with this puppy. I have printed and signed a copy that is included with this purchase request form. In doing so, I understand that ADBT will sign and deliver to me the same guarantee with the puppy packet that will be mailed to me at the time I take possession of the puppy described above.

I enter into this agreement in good faith. I will abide by the guarantee and the actual purchase agreement to be sent to me once ADBT reviews my purchase request. I understand that I will only be sent this purchase agreement once ADBT reviews this purchase request form and approves me as a buyer. I understand the only way I will receive my deposit back is if ADBT is not willing to sell me a puppy or if they cannot provide me with a puppy within the next 6 months from the date signed below. I also understand that has the right to refuse me the purchase of this puppy, any puppy, dog or service for ANY reason.

__________________________ _______________
Buyer's Signature Date

Buyer's Address _________________________________________

Phone #'s _____________________Email _____________


Please mail deposits such as personal check or money order, this form and your signed guarantee form to:
Shaun & Brigitte Lytle 16305 E. Jan Cir. Palmer, AK 99645
Any checks or money orders can be made out to ADBT. Thank You!