Application for Waitinglist

Copy & paste this application & include this application when inquiring about a puppy.

You may then fill out information and send it to me.

As soon as a litter is born a 50% deposit is required.

TODAYS DATE_________PUT ME ON YOUR WAITING LIST

Price Range you want to spend $_____

Choose size

Imperial (5-8 lbs) $1,200 as pet ________ $l,800 with AKC full Rights______

Small Standard (9-11 lbs) $850_____ $1,200 with AKC full Rights _______

Solid Chocolates add $250 ______

2.Color lst choice________2nd choice________ 3rd________ Choice__________

No preference____________

3.Male_______Female_______ No preference __________

4.Home phone __________________________ Cell phone ___________________

5.Work phone___________

6.Email address_______________________________________

Web address______________________

7.Name___________________________

8.Address______________________________________________________City________________________________State______________________Zip_________

10. If you decide you can NOT keep the pup do you agree to contact me first? _____________

11.Do you keep our dogs inside or outside? _________

l2.Do you have children and pets, what ages are the children/pets?__________________________________________________________

13.Have you ever had a Shih Tzu before?_____

14.WHERE DID YOU FIND US? Which advertisement?____________________________________

Miniature Angels Farm

Bedford, Va

Phone 540 494 5395