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View Printable Copy Date of birth_________________ Male[ ] Female[ ]


Date of birth_________________     Male[ ]    Female[ ]

Poodle[ ]   Chihuahua[ ]   Yorkshire Terrier[ ]    Pekingese[ ]    Other________________________________________

Age 6wks[ ]  8wks[ ]  Mo.___Yrs._____Color/Markings__________________________________________________

Registration # of Puppy/Dog ________________________________ AKC[ ]   CKC[ ]

Sire______________________________________________           Dam____________________________________

REG .#___________________________AKC[ ]  CKC[ ]                    REG.#___________________ AKC[ ]  CKC[ ]


The above puppy/dog has been transferred to me and I have 48 hours to have my puppy/dog checked by a licensed vet of my choice and at my own expense. If the puppy is given a clean bill of health and suitable for pet quality I am responsible for all veterinary bills incurred for the puppy. I understand that at this time my puppy/dog is not of show quality but is a representative of its breed. Size at maturity, hair length, color of coat and texture is not guaranteed. If my vet does not agree that the puppy/dog is in good health and suited as a pet, I must contact the seller immediately and arrange to return the puppy and registration papers along with a written statement from the vet stating the diagnosis and any X-rays or test results used in determining the diagnosis. I will then be given the option of a full refund of the purchase price, or the choice of another puppy of the same purchase price. I understand that I am not to expose my puppy/dog to stress, other unvaccinated animals, injury or death during the 48 hours. Seller is not responsible for my negligence. The vet should give all required vaccinations and de-worming at the time of the first visit. Puppies that do not receive proper vaccinations, de-worming and health care after the 48 hours are no longer covered under this contract.  Seller is not responsible for parasites, worms, and coccidiosis found commonly in puppies. Coccidiosis is a parasite that is commonly found in young puppies. Cocci can be found in the stool without causing problems until a stress factor causes an outbreak. Symptoms include diarrhea, loss of appetite, dehydration, weakness, and anemia.  The puppy has been fed Purina Puppy Chow. No food other than food recommended for puppies should be given. Severe diarrhea could occur. Any change in diet should be done slowly as to prevent undo stress. Never feed moistened food in a plastic dish. Plastic harbors bacteria. Place dry food and fresh water for the puppy at all times. Low blood sugar is common in the small breeds. Make sure the puppy is eating and drinking. Do not just set the food and water down and assume the puppy will eat and drink.  Nutri-Cal is highly recommended as a dietary supplement. It can be purchased at Pet Smart or from your veterinarian. Karo syrup or honey in small quantity can also be given daily to help prevent low blood sugar. Never give the puppy chocolate, fried food or milk. Please look at your puppy as you would an infant child. Too much handling and too little rest can place stress on the puppy.

The seller assumes no responsibility for this animal after leaving the premises. Example: Medical expense, mortality, landlord’s disapproval, allergy to animals, disagreement of family, or for any other reason except congenital birth defects causing death, accompanied Necropsy report and AKC registration papers.

I fully understand the above contract and by signing agree to the terms stated. 


Please print name________________________________________________                                                                                                                                 


Signature of Buyer______________________________________

                                                                                                       Deposit Amt. $___________No refunds

Address____________________________________                     Balance Due$_____________________

City ________________ State _______Zip________                    Received Full Payment$____________

Phone #____________________________________                     Pick -up Date_____________________



Thank you for your purchase of one of York’s Lovable Pets

James and Glenda York (706) 582-2807



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