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Puppy Application

If you would like to reserve a puppy, please complete the form below and submit along with your deposit.  Deposits are non-refundable.  The deposit amount will be deducted from the final cost of your puppy.

Thanks for submitting.  Don't forget to submit your deposit along with your application.

To submit your deposit via check or money order, please mail to:
Bittersweet Farm
364 Lear Hill Road
Newport, NH 03773

To submit your deposit ($250.00) via PayPal:

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Apply for a Puppy

Name_____________________________________________________________________________________________

Street Address___________________________________________________________________________________

Town, State, Zip__________________________________________________________________________________

Phone number___________________________________________________________________________________________

Email Address__________________________________________________________________________________________

Occupation:______________________________________________________________________________________

Allergies in family_______________________________________________________________________________

Children in family (ages):_______________________________________________________________________

Other pets at home/breed/gender:___________________________________________________________________________

Fenced Yard or dog park nearby?_______________________________________________________________

Number of hours you will spend with your pup daily __________________________________________

When working, where will your pup be?_______________________________________________________

Have you owned a dog before?______________ Do you want a male or female?_________________

Will this pup be a service/therapy dog or a pet?_____________________________________________

Do you prefer medium or standard size?___________ Do you want F-1 or F1-B?________________

Color preferred__________________________________________________________________________________

How were you referred to us?__________________________________________________________________

SIGNATURE____________________________________________________________DATE____________________

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