Deposit Form Name:                 _____________________________________________ Address:            _____________________________________________ City:                    __________________________,       State:  ______ Zip Code:  ______________ Phone:               ______-______-_______ Cell                    ______-______-_______ Email:                _______________________________ Interested in: (circle one) Bichon/West Highland Terrier Sex Desired:  (circle one) Male         Female         Do you plan to spay or neuter your puppy?  (circle one) Yes          No Which breeding or female are you interested in? If that particular breeding is not available/does not produce enough puppies for your requirements/dies/do not like , do you understand that your deposit will be rolled over into another litter of your choice? (circle one) Yes                   No (if no we will not accept a deposit and will be called only if a pup is available) Signed _____________________________________________        Date______________ Please include with $200 deposit. Please note deposits are nonrefundable, but can be moved to another litter. Checks can be made payable to: Debbie Willard 905 Private Rd 112 Elizabeth, Co 80107 303-646-4787