ROYAL FLUSH HAVANESE & BICHONS
application for puppy
401-864-3371 or 888-500-2298
Your name:
Your email address:
Your phone number:
Your address:
**How did you find out about Royal Flush?**

Referral

Google search

Pets4you.com

Terrificpets.com

Breeders.net

Dogsusa.com

Puppiesusa.com

Dogfancy.com

Dog Fancy Magazine

Other
If referral, who?
If other, how?
Male or Female Puppy, and Why? Color preference if Havanese?
Number and ages of children if any?
Have you owned a dog before?
Do you want a Havanese or Bichon? Why?
Who will care for, train, and exercise the dog?
Number of hours the dog will be alone?
Do you own or rent your home? If a condo, do the condo documents allow a
dog?
If you rent, do you have the permission of your landlord to own a dog?
Name and location of the veterinary clinic who knows you?
May we use them as a reference?
Comments or questions?
Please check the box before each statement. By submitting this application, you agree to
the following conditions, and promise the information on this application is correct:
1.) I agree to never breed this pet, and to spay/neuter him/her before
he/she reaches 8 months of age.  

2.) I agree to keep this dog in my possession and not give away, sell, or
abandon it - but return it to this breeder if I relinquish custody.  (If this
breeder sells the dog, a refund of ½ that amount will be sent back to me.)

3.) I agree to provide a safe, clean environment for my dog.

4.) I agree to provide a daily routine of feeding, play, and nurturing.

5.) I agree to care for this dog humanely at all times, providing necessary
medical care and regular check-ups.

6.) I agree to have this dog wear a collar with an identification tag or to
have him/her microchipped.

7.) I promise that all my information is correct.

8.) I understand that sending this application does not automatically
entitle me to a dog.  I understand that this application is just a beginning
step in the interview process.

9.) I understand that this puppy is sold to me for the purpose of
companionship and registration papers are not provided on pet puppies.

10.)  I understand that if I am eligible to purchase a puppy from Royal
Flush, a non-refundable deposit of $200.00 is required to secure my
position on the waiting list.