Application For Puppies

Please copy the following application and either fax
(717)728-3808 or email it to Cavanaugh3@yahoo.com

 Name________________________________________________________________________

Address_______________________________________________________________________

City________________________________________________ST_________Zip_____________<

Phone__________________________________________Cell___________________________

Children/Age__________________________________________________________________

______________________________________________________________________________

Other pets/Names_____________________________________________________________

______________________________________________________________________________

Reason for wanting a Bernese Mountain Dog_____________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________