Delivery Receipt
Buyer:_________________________________ Date Delivered__________
Breed:____________________________ Reg. #______________________
Male Female
Markings:_____________________________________________________
By signing this form you are stating that you are the buyer of the above described dog/puppy and have picked up/received this puppy from the seller or their agent on the above date.
Print Name & Address:
______________________________________________________________
Sign
_______________________________________________Registration papers were given at time of delivery INT________________
Registration papers will be mail with in 3 months INT________________
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If an agent picks up your puppy we will need an DL & a signature from them. Be sure the DL# matches the one you list below.
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I am sending my agent named & ID below to pick up my dog/puppy. I take full responsibility of said puppy from the time my agent picks him up.
Sign_________________________________________
Agent Name____________________________________________________
Agent DL #____________________________________________________
Agent Sign_________________________________