DEPOSIT FORM

NAME:       _______________________

ADDRESS: _______________________

CITY:         _________________

STATE:      _____________

ZIP:            _____________

EMAIL:      ________________________

PHONE:     ________________________

LITTER OF INTEREST

SIRE: _____________________________

DAM: _____________________________

     MALE: _____

FEMALE: _____

OTHER PREFERENCES (COLOR, MARKINGS, ETC…)

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__________________________________________________

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Please mail this form along with $200 deposit to:

Jason Patty

1947 SE Bluestem Rd.

El Dorado, KS 67042

Once deposit is received I will notify you of your pick of the litter via email.

Thank you for choosing Skyview Setters!