Date_________________________________________________________ 

Name _________________________________________________________

Address________________________________________________________

City________________________________State_____Zip________________

Telephone_________________________________

E-Mail Address__________________________________

Reference___________________________________________

Do you own an English Setter Yes No

If yes, what type? Ryman, Bench(show), Field

Do you have a color preference? Blue Orange Tri

Would you consider another color?

Do you have a sex preference?

Would you consider another sex?

What are your plans for the dog? Hunt Companion Therapy/Service Obedience/Agility/etc

Where do you plan to keep the dog? Inside Outside

Where did you hear about our kennel?________________________________________

Additional Comments:

*****Flanagan Springs Kennel reserves the right to cancel a contract at any time before final sale, and refund deposit to buyers.