Puppy Request Form | Southern Magnolia Shih Tzu

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Puppy Request Form

Request Form

First Name

Last Name

Email

Phone

Address

Gender *

Male

Female

Either Male or Female

Puppy Size *

Imperial Size 6-10 lbs.

Standard Size 11-16 lbs.

Either Size

Please add any additional information:

Puppy's Fur Color

Black & White

Black Mask Gold

Blue Cream

Brown Black Red (Tri Color)

Dobie

Dobie Liver

Isabella Cream White

Liver Chocolate

White Grey Black (Tri Color)

White Gold Black (Tri Color)

Any

Note our Puppy Prices:

Standard Male:

Standard Female:

Rare Colors:

Imperial:

$ 3,000.00

$ 3,000.00

$ 3,000.00

$ 3,000.00

Thank You Your form has been submitted!

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