NON-REFUNDABLE WAITING LIST DEPOSIT FORM
Wendi Shaw & Daughter’s
DBA STARGAZER LABRADORS
56 TOWLE ROAD
CONWAY, NH 03818
(603) 986-4184
www.stargazerlabradors.com

Non-refundable deposit of $100.00 to be placed on waiting list to be applied to one AKC limited registration Labrador Retriever Puppy from Stargazer Labradors at current cost with Microchip.
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First Name(s) *
Last Name *
Street Address *
Town/City *
State *
Zip Code *
Phone Number *
Email Address *
Facebook Name (Optional)
Puppy Gender Preference *
Puppy Color Preference (Select Multiple if Applicable) *
Required
I acknowledge that I have read and agree to the Stargazer Labradors Waiting List Process. Non-refundable deposit amount for liquidated damages. *
Signature *
Printed Name *
Date *
MM
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DD
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YYYY
PAYMENT
PLEASE MEAKE CHECK OUT TO "WENDI SHAW" AND MAIL TO-
Wendi Shaw
56 Towle Rd.
Conway, NH 03818

VENMO IS ACCEPTED UPON REQUEST
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