Name *

First Name

Last Name

Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

When would you like to have your puppy

MM

DD

YYYY

What breed are you interested in? *

Standard Bernedoodle

Do you need your puppy shipped *

Yes

No

Which colour would you prefer ? *

two colour ($3000)

Tri-colour ($3500)

NO Preference

Which gender do you prefer ? *

Male

Female

Are you aware that deposits are NON-refundable ? *

Yes