Please send this deposit form to:
Roxann Howard
1745 Camp Kirkwood Rd Watha Nc 28478
Puppy information:
Breed:__________________________Color:_________________________Sex:_________
Band Color:______________________Parents Names:______________________________
Buyers Information
Name:_________________________________________________________________
Address:_______________________________________________________________
Phone:____________________________Cell:__________________________________
Email:__________________________________________________________________
I am sending a $50.00 deposit for the puppy listed above from Kirkwood Kennels. I understand
by signing this contract my deposit is non refundable if i should decide not to purchase this pup after
the contract is sent.
Signature:__________________________________Date:___________________________
