DEPOSIT FORM *Please Sign and Return to: Lisa Grose 7315 Goodwill Church Rd Kernersville, NC 27284

Bar-KL Miniature Australian Shepherds

Puppy’s Name

Puppy’s Sire Linderlands The Dakota Kid of Bar-KL

Puppy’s Dam BarKL’s Belle Starr

Puppy’s DOB June 5.2011

This deposit terms and conditions are between Bar-KL, herein referred to as the Seller, and

______herein known as the Buyer.

A $250.00 deposit is required to hold your puppy of your choice. Your deposit must be mailed promptly. Puppy will Be held for 4 Days time. If deposit has not arrived within a 4 day period, puppy will be available for a Buyer.

Deposits are a measure of good faith, that you, the Buyer, intend to purchase a puppy. In the event, for any reason that the Buyer is unable to meet His/Her agreement of the purchase of this given puppy, The Seller, BarKL will retain 100% of the Deposit. The DEPOSIT is NON-REFUNDABLE.

If the Buyers pick was not met, for example, if the puppy becomes unavailable, then the deposit may be transferred To another puppy (if available) or a future litter with no penalties. In the event that 2 puppys in the same litter are Purchased by the same party, each puppy will be due it’s own deposit, and in turn should the Buyer decide, for Whatever reason to cancel on either puppy, deposits cannot be transferred to/or applied to the price of the other Puppy chosen by the Buyer.

Agreed Price of Puppy: $ ______

Less Deposit Amount: $ 250.00

AMOUNT DUE: $ ______

( AMOUNT DUE, IS DUE UPON AGREED PICKUP DATE BY **** CASH or MONEY ORDER )

I have read the above, understand and agree to the terms of this contract as evidenced by my signature below.

BUYERS Signature & Date

BUYERS Address Phone #

E-Mail Address www.barklminiaussies.com 336-643-5205 Email Address: [email protected]