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
First M Last
City ______________________ St__________ Zip____________
Home Phone: ________________________
Work Phone:_________________________ Ext:____________
Please let me know the following
SIZE: Tiny Tea Cup / Imperial / Standard / Any
SEX: Male / Female / Any
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.
SEND TO: Tammie Wise
Amazing Shih-Tzu's 21206 4th Street Carlyle,IL. 62231