Please print this page and complete the application. 
Mail to Fox Creek Farm, 780 Shanghai Rd., Berkeley Springs, WV 25411.
A $300 application fee must accompany your application. A personal check payable to Fox Creek Farm is acceptable. This fee is applied to the  final payment of your puppy and is non-refundable if you do not purchase a puppy from Fox Creek Farm. Once your application is  accepted, you will be offered a puppy typically within 1 to 6 mos. You will be notified when your name has been reached. A 50%  non-refundable deposit will be required to hold your reservation when your name is reached.
APPLICATION TO PURCHASE A PUPPY Please circle your preference(s) below:

Multigen Size: 
Micro Petite    Petite    Mini     Medium     Standard

(Micro Petite=under 20 lbs.,Petite=20-25 lbs., Mini=26-35 lbs., Medium=36-50 lbs., Standard = over 50 lbs.)
Puppies are priced at
$3500 plus 6% sales tax on pups picked up in WV



Children & ages__________________________________________________________________

Does anyone have allergies to dogs?_________________________________________________

I live in a (circle one) House Condo/Apartment Townhome

Acreage accessible to a dog_______Is it fenced?_______________________________________

Previously owned dogs___________________________________________________________

Current dogs/breeds/genders______________________________________________________

How many hours a day would a puppy be home alone?__________________________________

Will you pick up your puppy or need it shipped?________________________________________

Please note that if a specific gender, color, or coat type is requested, your wait for a puppy could be

Gender preference (circle one) Male Female Either

Color Preference (circle one) Blonde Golden Red Any of these

Coat Preference (circle one) Curly Wavy Any of these

Ideal adult weight you desire___________ lbs.  Please give minimum and maximum



Please let us know how you found us by circling below or filling in the blanks: (advertising site) (advertising site)
Referral by__________________ Google search (search words used_______________________) Other___________________________________________