"Vom Hause Juan"

EXCLUSIVE BRREDER OF ROTTWEILER

Juan Bartolomé

3 Rte de Le Villey

39230 Sellières France

FCI n# 67700, Breeder SCC n# 802809

Certification of capacity n# 82074-ACD

Reservation form

(Send by post)

First & Last name: …………………………….

Adress : …………………………….

ZIP Code : …………………………….

State : …………………………….

Home phone : …………………………….

Cellular : …………………………….

Email : …………………………….

This document confirms my reservation on the following litter :

………………..X………………..

Reservation for : One puppy rottweiler o Mâle

o Femelle

Price: ……….€

I have enclosed a deposit in order to hold the reservation : paid to order of Mr. Juan Bartolomé for half price of the puppy in the amount ………...€. If unable to honor the reservation, it will be posponed to a later litter avalaible.

The reservations are held in which Von Hause Juan receives them. The balance will be paid upon the pick-up of the puppy.

Date et Signature