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Ballerine’s Berger Picards

U.S. Breeder of Berger Picards

POTENTIAL PUPPY/CLIENT INFORMATION

Thank you for the interest in our Picards. We do appreciate you answering the following questions so that we can select the right puppy for you. All information is confidential and will only be used by us here at BBP. Thank you for your cooperation in answering our questions. Copy this form and paste in an E-mail to or print and mail to: Janet Baker, 13055 Riverdale Dr NW, Unit 500-319, Coon Rapids, MN 55448. Please read the purchase information that is listed below the application.

Your name ______

Address______

Phone Number______E-mail:______

How were you referred to us?______

Are you interested in a ( ) male ( ) female ( ) no preference

Why are you interested in obtaining one of our Picards?

( ) Companion ( ) Show ( ) Breeding ( ) Protection

Additional information _____

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What qualities do you like in the Picard breed? ______

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Animals presently at your home now ______

Previously owned dogs ______

Are you committed to caring for this dog for its lifetime? ______

Have you ever had to euthanize a dog? ____If so, why? _____

Are you willing to spay/neuter this dog? ____If not, why? _____

If you are considering breeding, do you promise to have this dog X-rayed for dysplasia and have eyes checked (CERF)? ______

FAMILY DATA

Are you ( ) M ( ) S ( ) D Your age ___# of Children ___Ages ___

Others in household who will have contact with dog ______

Where will dog stay during the day? ______

Where will dog stay during the night? ______

Do you live in ( ) Urban ( ) Suburban ( ) Rural Environment

( ) Own Home ( ) Apt.

Further information you wish us to consider in placing one of our Picards with you. We would appreciate if you would give us a little insight into the expectations you may have for this new addition to your family. Thank you again. Your interest is deeply appreciated.

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Your Purchase Contract that you will receive will include your puppy’s date of birth, time of birth, weight, dates he/she was vaccinated and wormed and will include copies of his/her vaccination papers.

The price for your puppy is $2500.00. A $500.00 non-refundable deposit is required to hold your puppy. The balance of $2000.00, if paid by check, must clear the bank before the puppy can be shipped or picked up.

If the puppy is to be shipped by air, all flight information and bookings can be arranged by the buyer or, if preferred, by BBP. An airline approved crate will be needed to ship the dog in and a health certificate obtained just prior to shipping. Buyer can ship an approved crate to BBP or BBP will provide one and payment can be added to the final cost of the puppy. The price depends on the size of the crate needed and current market prices.

If there is any reason that the puppy is not going to work out in your home, the puppy must be returned to BBP and you will received a refund, minus the non-refundable deposit and expenses involved in the sale of the puppy, for up to 2 months after purchase. After that time, if the puppy needs to leave your home, he/she will be returned to Ballerine’s Berger Picards but no refund can be made. This is spelled out in the final Purchase Agreement.

Janet K. Baker

Ballerine’s Berger Picards

(612) 306-7088

_IMPLIED WHEN SENDING BY E-MAIL______

Buyer signatureDate

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Buyer Print NamePhone

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Address

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