Agreement to Purchase

Hammerhead Kennels

17400 Concession 12,

Schomberg, Ontario.

L0G 1T0

(905) 939-8581

Dog Information:

Registered Name: _____________________________

Call Name: _______________________

Club Name and Registration #: ________________________________________

Sex: _______

Litter Registration #: ___________________________

Colour: __________________________

Micro Chip #: ________________________________

Date of Birth: ______________________

Sire: _________________________________

Dam: __________________________________

Vendor’s Information:

Name: _______________________________

Street

Address: ________________________________________________________________

City/Town: ____________________

Province/State: _____________ Country: ______________

Postal/Zip Code: _______________ Phone # (___)______________

Purchaser’s Information:

Name: _______________________________

Company: _______________________________

Street

Address: ________________________________________________________________

City/Town: ____________________

Province/State: _____________ Country: ______________

Postal/Zip Code: _______________ Phone # (___)______________

Hammerhead Kennels (o/b 1522408 Ont. Ltd.) agrees to pay the total amount of $________ for the above dog mentioned. Seller will provide any and all paperwork/info regarding said dog by this time.

Date:____________________

______________________ __________ ______________________ _______

______________________ _____________________

Vendor Purchaser: Laura Kelsch of

Hammerhead Kennels