Refund Agreement

Hammerhead Kennels

17400 Concession 12,

Schomberg, Ontario.

L0G 1T0

(905) 939-8581

With the acceptance of a refund in the amount of $_________, I __________________ hereby acknowledge that Laura Kelsch (breeder) and Hammerhead Kennels is no longer financially responsible for the dog, ________________. All guarantees regarding this dog are null and void.

Date:____________________

Purchaser's Signature ____________________

Breeder's Signature ______________________