Northern Nevada Silver Labs

Puppy Request

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Please fill out this form to request your puppy.  Once you submit it, you will be directed to a payment page where you can pay the deposit.  Your $200 deposit holds your puppy until your final payment is due.  Deposits are non-refundable.
 
1.  Fill out this form and hit "submit"
2.  You will be redirected back to this page, but do not fill out the form again, instead...

CLICK HERE TO MAKE A PAYMENT

First name:
Last name:
Email address:
Address 1:
Address 2:
City:
State:
Zip code:
Phone:
Are you interested in a male or female puppy?
Will you personally pick up or do you need us to ship the puppy (extra charge)?
  

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