Puppy Application

Puppy Application

NOTE: We DO NOT ship our puppies.
We do deliver within a 350 mile radius for a minimal fee
Home Phone:   Cell Phone:  
What sex puppy would you prefer?
Male Female Would consider either
What color puppy would you prefer? **

How did you find us?

If Other, please explain:

When would you like to receive your puppy?

Type of Registration Desired
- Show or Breed
- Pet Only

Please tell me a little about yourself:
Have you ever had a dog before? If so, what type of dog? How long did you have it?
What are your breeding plans for this dog, if any?
         "Thank you !!"

** Color cannot be guaranteed. Shih-Tzu's can and do change color.
Adult (outer) coat may differ from puppy (under) coat.


Bill & Wendy Johnson
Mount Airy, NC 27030
(336) 786-8391

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