Deposit to reserve a puppy

Sunrise

Deposit to reserve a puppy
Please print and complete this application and send it with a $500 deposit to reserve a puppy. MasterCard or VISA, is accepted. For the security of your credit card information, please do not email credit card information. Either mail it or fax it to [phone]. All deposits are non-refundable, so please be serious when considering a puppy.

Specified puppy or litter:

Name on Card:
Billing Address:
City and Zip:
Type of Credit Card Only MasterCard or VISA:
Credit Card Account:
Expiration Date:
Verification Code:
I am permitting a $500 charge on this account to reserve a puppy from Sunrise.
Signature:
Date:

Send to: Sunrise, PO Box 77, Wolcott, IN 47995. Fax: [phone]