Known Microchip # application AB

Adoption Application

First Name*

Last Name*

Address*

City*

Province / State / Region*

Select or enter value

Phone Number*

403-XXX-1234

Phone

Email*

Microchip #*

The number of the pup (if interested in a particular one)

Preferred Gender

Male

Female

No Preference

Size

Please select 'unsure' if you would like to discuss this further with us

Mini

Standard

Unsure

Deposit Conditions Etransfer direct to info@legacykennels.ca OR Click on the link to complete the deposit: www.paypal.me/LegacyKennelsCA/500

I realize the deposit of $500 is NON-REFUNDABLE.*

Send me a copy of my responses