Waiting List

Please print this form, fill out completely and don't forget to sign, date and include this form
along with your deposit for $200.00 made payable to: Tammie Wise
Name_________________________________________________
              First                            M                              Last
Address_______________________________________________

City ______________________  St__________  Zip____________

Home Phone:  ________________________

Work Phone:_________________________ Ext:____________

Cellular:____________________________

Email address:_________________________
Please let me know the following

SIZE:  Tiny Tea Cup   /   Imperial  /  Standard   /  Any  

SEX:  Male  /  Female  /  Any  
COLOR:                                                                                
This deposit of $200  places me on the waiting list of Amazing Shih Tzu's  for the next 

available puppy.  I understand that requests will be filled on a first come first serve basis 

and that I will have one year from the signing of this contract to find my Shih Tzu puppy.  

This deposit is non-refundable if you should change your mind.  

I have read this form, understand it, and agree to the terms therein.

Signature_______________________  Date___________________ 

                     SEND TO:    Tammie Wise                                 
                           Amazing Shih-Tzu's                                                                                                               21206 4th Street                                                                                                                  Carlyle,IL. 62231





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