Please print this page and complete the application.  

Mail to Fox Creek Farm, 780 Shanghai Rd., Berkeley Springs, WV  25411.

A $100 application fee must accompany your application.  A personal check payable to Amy Lane is
acceptable. This fee is applied to the final payment of your puppy and is non-refundable if you do not purchase a
puppy from Fox Creek Farm.  Before applying, please make sure you do not have conflicting vacations, business trips,
elective surgeries, etc. that would affect your ability to accept a puppy any time in the next 6 mos.  If your name is
reached and you decline to purchase a puppy at that time, your name will placed at the bottom of the waiting list. Once
your application is accepted, you will be offered a puppy typically within 1 to 6 mos.  You will be notified when your
name has been reached.  A 50% non-refundable deposit will be required to hold your reservation when your name is
reached.
APPLICATION TO PURCHASE A PUPPY     Please circle your preference(s) below:

F1 Mini/Medium    F1B Mini/Medium     F2B or F3 Mini/Medium      F1 Standard    F3 Standard          
                              
   
$2000 plus 6% sales tax on pups picked up in WV (pups shipped are not taxed)                 

Name____________________________________Email__________________________________

Phone____________________________Address_______________________________________

Children & ages__________________________________________________________________

Does anyone have allergies to dogs?_________________________________________________  

I live in a (circle one)                House                 Condo/Apartment                           Townhome

Acreage accessible to a dog_______Is it fenced?_______________________________________

Previously owned dogs___________________________________________________________

Current dogs/breeds/genders______________________________________________________

How many hours a day would a puppy be home alone?__________________________________

Will you pick up your puppy or need it shipped?________________________________________

Gender preference (circle one)              Male                     Female               Either

Please note that if a specific gender is requested, your wait for a puppy could be extended.

Color Preference (circle one)       Blonde                    Golden               Red              Any of these

Please note that if a specific color is requested, your wait for a puppy could be extended..

Comments_______________________________________________________________________

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Please let us know how you found us by circling below:

www.Goldendoodles.com (advertising site)     www.goldendoodle-labradoodle.org (advertising site)  
     
Referral by__________________  Google search (search words used_______________________)

www.GoldendoodleAssociation.com     Other___________________________________________