The form below should be completed and submitted along with your non-refundable/non-transferrable deposit of $250.00. Your deposit will be applied to your total puppy fee ($2,000). If your application is denied, your deposit will be returned to you. Please print out this form and submit your completed application by mail with your deposit check to: Bittersweet Farm, 364 Lear Hill Road, Newport. NH 03773. You may also scan it and submit with an email to bittersweetfarmnh@yahoo.com You can access our Venmo account or PayPal account by using our email address bittersweetfarmnh@yahoo.com to make a payment. If using PayPal, please include additional 3% service fee for a total of $257.50. You will be notified when your application is received and if approved.
Name_____________________________________________________
E-mail Address ______________________________________________
Occupation________________________________________________
Any allergies in family? ________________________________________
_________________________________________________________
Other pets at home/breed/gender _______________________________
_________________________________________________________
Daily # of hrs you will spend with your pup_________________________
When working, where will your pup be? ___________________________
_________________________________________________________
Will this pup be a service dog or pet? _____________________________
_____________________________________________________
_________________________________________________________
________________________________________________________
Signature __________________________________________________
Phone Number______________________________________________
Street Address______________________________________________
Town, State, Zip _____________________________________________
Children in family/ages ________________________________________
_________________________________________________________
Do you have a fenced yard?____________________________________
If not, do you have a dog park near by? ___________________________
_________________________________________________________
Have you owned a dog before? _________________________________
How will you train your dog? ____________________________________
Do you have a preference on gender? ____________________________
Color preferred ______________________________________________
Other comments _____________________________________________
_________________________________________________________
_________________________________________________________
Date ______________________________________________________