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Call Us   [ 215-743-4258 ]   7:00am — 10:00pm EST                                                     Metropolitan [Area] Philadelphia, Pennsylvania
 First Name:
 Last Name:
 Your Current Address:
      Apartment #
 City:
 State/Province:
 Zip/Postal Code:
 Daytime Number:
 Evening Number:
 Email address:
How  did you hear about us?
What are you looking for ...
      A Yorkie Pup or WebDesign?
Puppy
WebDesign
What is the best way to
      contact you?
By email
By phone
What is the best time to
     contact you?
Daytime
Evening
What type of Puppy are you
      looking to purchase?
Show Potential/Breeder — ( AKC Full-Registration )
Companion / Family Pet — ( AKC Limited-Registration )
Will you need "Shipping"?
     $300 shipping fee additional
Air Shipping
Door-to-Door Ground Delivery
No shipping is needed
 "Listed Name" of desired puppy
Would you like to be placed 
      on our "Wait List?
Yes
No
Are you prepared to place 
     a Deposit to hold a Puppy?
Yes, I am ready to place a($500 Non-Refundable Deposit) for my puppy.
No, I need more Information.
Would you like to be notified
      of upcoming litters?
Yes
No
Comments:

THANK YOU for your Inquiry!
We will contact you shortly.

"A Puppy is as 'American' as Apple Pie"