Wait List Application

Date Of Application

Name/Address/Contact Number?*

Email*

Breed / Gender / Colour*

Have you had a dog or puppy before?*

Do you have children or other pets? If yes, what age & type are they?*

Have you read the Breed and Your responsibilities information on our website?*

Are you able to provide access to regular exercise for your puppy? *

Do you intend on participating puppy training classes?*

Have you thought about Pet insurance?*

$500 refundable deposit payable to Willow Park Breeders BSB: 193-879 ACC:472 361 795 Please attach copy of payment receipt to application

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Willow Park Breeders

Tyabb, Victoria, Australia

0439983264

Hours

Mon	By Appointment
Tue	By Appointment
Wed	By Appointment
Thu	By Appointment
Fri	By Appointment
Sat	By Appointment
Sun	By Appointment

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