Royal Flush Havanese Puppy Application

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To apply for a puppy from Royal Flush Havanese, we ask that you provide the following information. This information helps us to ensure that each of our puppies is being placed in a great home, where all of their needs will be met. It also helps us match you with the right puppy. Please be sure to fill out ALL of the questions and answer them as thoroughly as you can. We never share your information. Your privacy is respected throughout the process. Thank you in advance, we look forward to speaking with you soon.

FIRST & LAST NAME *

EMAIL ADDRESS *

CONFIRM EMAIL ADDRESS *

PHONE NUMBER

ADDRESS (STREET & APT #) *

CITY *

STATE *

ZIP CODE *

List which puppy or puppies you are interested in meeting or reserving. If you are filling out the application for a future puppy, please tell us what color/gender and in what time of year you are looking to bring your new puppy home. *

Does anyone in your home have allergies? *

Yes

If so please list allergies below:

Comments or questions?

I AGREE TO NEVER BREED THIS DOG *

YES

I agree to spay/neuter by 8 months old. *

YES

I agree to never bring him/her to a shelter if I cannot keep him/her. *

YES

I will find him/her a great home or return them to my breeder to rehome if I cannot keep him/her. *

YES

I will provide daily food, play time, and a nurturing environment. *

YES

I will provide necessary medical care and regular check ups. *

YES

I guarantee that all of my information is accurate. That I am 18 years or older, and I am purchasing this dog for myself. *

YES

I understand that Limited AKC Registration Papers are provided. *

YES

I agree that my deposit nonrefundable, if I choose to place one. *

YES

I understand that by submitting this application I am under no obligation to purchase a Royal Flush Havanese. *

YES

Please Re-Enter your first and last name in the space provided below. By submitting this application, you agree to the previous conditions, and promise the information on this application is correct: *

Please email us after you click submit. Not all applications make it to our email so please let us know you've filled one out! Thank you!

holly@royalflushhavanese.com 4018643371

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