Sunnyhill Kennels
PO Box 66
Utica, NE  68456

If you are looking for a cocker spaniel or shih tzu puppy as a pet or potential show dog, please fill in this form with a $25 non-refundable fee (fee will be applied to price), and mail to above mentioned address:

Name: 
Street Address:
City: State: Zip:
Home Phone: Cell Phone:
E-Mail Address:
Why have you chosen to buy a pup from us?

 

What are your expectations for this puppy?

 

Desired Breed (circle one):       Cocker Spaniel    or     Shih Tzu
Desired Sex (circle one):          Male                       Female                      Any
Desired Color(s):
What age do you prefer? (circle one)       3-5 months     or      6-12 months    or     adult
What kind of dog are you looking for? (circle one)          Pet        or        Show Potential
(Please note:  All puppies sold as pets MUST agree to the spay/neuter agreement.  We DO NOT sell breeding stock.)
Would you agree to our spay/neuter agreement? (circle one)              Yes        or     No
When the litter is born, how do you want to be notified? (circle one)   E--mail  or  Phone
Do you have any young children in the home? (circle one)                   Yes        or     No
If yes, what are their ages?
Do you have any other pets in the home? (circle one)                          Yes        or     No
If yes, what are they?
Will there be anyone home during the day? (circle one)                       Yes        or     No
Do you have a fenced in yard? (circle one)                                            Yes        or     No
Where do you plan to keep the puppy when you are not home?