Sandhills Farm

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Purchase Agreement

First name:
Last name:
Address 1:
Address 2:
City:
State:
Zip code:
Phone:
Alternate Phone:
Email address:
Payment Method:
Airport First Choice:
Airport Second Choice:
Name of Person Picking Puppy Up:
Address
City:
Phone:
Alternate Phone (cell, work, etc..)
By checking and submiting this form I agree to the Purchase Agreement and state that I have read the Health Guarantee.
  



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