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PUPPY PAYMENT FORM
Jordan Puppies
Puppy is not on hold until payment clears and the puppy has YOUR name next to it on the website!!!
PLEASE CHECK AND MAKE SURE THE PUPPY YOU PAID FOR IS ON HOLD FOR YOU AFTER YOU KNOW YOUR PAYMENT HAS CLEARED!
New Owner Questionnaire. If I feel your answers do not fit the puppy you want I will call you to discuss a change or refund.
*How Many persons are in the home and ages?
*How many pets live in the home and their type and age?
*Is dog going to be just a family pet? Service animal? Breeding? Special Events? Explain:Call if you have questions.
All puppies are only sold as pet quality, and no guarantee on breed ability, even if sold with full registration papers for conformation and breeding. Pups are sold with limited registration unless seller and buyer agree otherwise.
*What are you wanting in a new pet? Do not write questions on this form. If questions you must call.
*Why is your home a good place for this puppy?
*How did you find us? Friend? Magazine Ad? Pets4you.com? breeders.net? AKC.org? search engine? etc...Lets me know which ads work.
Puppy Information
*Puppy`s Breed
*Description of Puppy:
*Male Or Female?:
*Cost of pup before shipping or other add ons::
Shipping Cost Given by breeder:
If Shipping, What Airport to ship to:
If Shipping, Name of Person picking pup up at airport and aprox shipping date:
If Picking pup up, from my home, aprox pick up date:
Purchase Information
Call or Text if you need help:
Kristina Jordan 816-682-0265
*Payment Options / Choose one:
Bank Wire
Mailed In Check or Money Order
Cash
PayPal
Credit Card
Always call before making a payment to make sure puppy you want is available and so I can watch for your incoming payment and approve of the payment method you want to use. If you are picking your puppy up in person any amount owed is due in ONLY CASH at that time, since payments must clear before a puppy can leave.

You can always call me to walk you through the payment process: Kristina Jordan 816-682-0265
Bank Wire: If you can`t pay in Cash BANK WIRE is the best way to pay. It is Secure and fast and you have proof your payment went from your bank account to my business account. So the puppy is on hold immediately. To make a bank wire payment: Contact your bank with my wire info to send the wire. This bank wire info is for paying Kristina Jordan- Bank Transfer Information is: Bank Of America in Belton, MO Routing for incoming wires: #026009593 Account number: 355001768410

WHEN SENDING A BANK WIRE: You must put the puppy’s name and breed, and most importantly the person’s name that has signed the health contract on the actual wire transmission that is sent to my bank. If you fail to do this I will not know who or what pup the wire is for when I receive it. The same person’s name needs to be on this online puppy payment form that you fill out for the puppy you want. This is the only way to connect a buyer to a payment and to a puppy. After you send a wire contact us the next business day to make sure it has cleared in our account and that we are actually holding the puppy for you.

Fill out this form and choose NON PAYPAL PAY button after clicking Submit below.

If you do not see YOUR NAME next to your choice puppy on our website we are NOT holding the puppy for you.
Check or Money Orders: No puppy will leave us until checks clear the bank. No puppy is on hold until payment has cleared the bank. If mailing a check or money order always send it express overnight so I will get it ASAP and make sure it has tracking on it just in case it gets lost in the mail. Tracking is enough to prove I received the letter. Do not put a mandatory signature on it, so wave signature if needed, so they will leave it at my door if I`m not home. If you absolutely must have a signature then only send with USPS,(United States Postal Service) since other carriers are over an hour from my home and I can not drive an hour from my home to go pick up if I miss them. I prefer no signature needed so it will be left in my mail box or screened in porch for me if I`m not home. If you want to pay with a check or money order: Please call me first for my address to send the payment to.

Fill out this form and choose NON PAYPAL PAY button after clicking Submit below.

If you do not see YOUR NAME next to your choice puppy on our website we are NOT holding the puppy for you.
Cash: You can always pay your deposit or any other payments in cash if you are coming out to our home. If you are picking your puppy up in person and owe a remaining balance you must pay it in cash only… We do not take checks or any other payment if you are taking your puppy home that day because all payments must clear before puppy leaves our home. So if picking up in person always bring CASH for any remaining amount owed on the puppy.
Fill out this form and choose NON PAYPAL PAY button after clicking Submit below.

If you do not see YOUR NAME next to your choice puppy on our website we are NOT holding the puppy for you.
Credit Cards: I Rarely accept Credit Card or PayPal payments for tinier puppies so if buying a tinnier sized puppy you must contact me to see if I would accept this form of payment for your puppy. I prefer the payment options above because of credit card fees and credit card fraud, but if absolutely necessary I can take a payment by credit card. Credit Cards are processed through PayPal. Credit card and PayPal payments can take 48 business hours, or even up to 5 days in some cases, to clear and your puppy will not be on hold until it clears, so if you are worried about someone else getting the puppy you want best to do a bank wire. If paying by credit card choose PAYPAL PAYMENT option on this form and then put in your credit card info on the PayPal site for payment. You do not need a PayPal account to do this. You can use your Paypal account or your credit card with PayPal. You do not have to be a Paypal member to pay with a credit card through PayPal. Buyer agrees that no charge backs or disputes will be filed through a credit card company for ANY REASON. If there is an issue with the puppy covered by the guarantee the breeder/seller will replace the puppy if needed or will work with the buyer to make the situation right for all parties.

Fill out this form and choose the PAYPAL button after clicking Submit below.

If you do not see YOUR NAME next to your choice puppy on our website we are NOT holding the puppy for you.
PayPal: I Rarely accept Credit Card or PayPal payments for tinnier puppies so if buying a tinnier sized puppy you must contact me to see if I would accept this form of payment for your puppy. I prefer Bank Wire, checks, money orders or CASH, because of PayPal fees but if absolutely necessary I can take a payment by PAYPAL. Credit card and PayPal payments can take 48 business hours, or even up to 5 days in some cases, to clear and your puppy will not be on hold until it clears, so if you are worried about someone else getting the puppy you want best to do a bank wire. If paying by PayPal choose PAYPAL PAYMENT option on this form and it will then take you to PAYPAL to send the money via your PayPal account. You can use your Paypal account or your credit card with PayPal. Buyer agrees that no charge backs or disputes will be filed through a credit card company or PayPal for ANY REASON. If there is an issue with the puppy covered by the guarantee the breeder/seller will replace the puppy if needed or will work with the buyer to make the situation right for all parties.

Fill out this form and choose the PAYPAL button after clicking Submit below.

If you do not see YOUR NAME next to your choice puppy on our website we are NOT holding the puppy for you.
Below choose DEPOSIT or PAY FOR PUP to put in an amount you are paying today. DO NOT FILL OUT BOTH FIELDS! Choose one or the other!!!
Make a DEPOSIT or SKIP:
  500 dollar deposit:
PAY FOR PUP, Call for Price, or SKIP:   
Shipping, Call for price, Or SKIP:
Optional Add Ons, Call first to ok before adding:
1. Airline Shipping Insurance $10 for each $1000 protection against death or injury due to airline negligence. Pup will ship with NO insurance otherwise.
2. Microchip $50.
3. Boarding $75 per each week.
4. Or if other explain.
Add Ons 1, "Describe":   
Add Ons 2, "Describe":   
Add Ons 3, "Describe":   
Sub Total:
Tax (MO 8.22%):
*Payment Type:
Bank Wire or mail in payment
Paypal or Credit Card
Paypal Fee (3.5%)
*Final Total with PayPal fee added:
*Final Total:
Add a note:
Billing Information : If different person or info than the person picking pup up at airport explain above in Notes
*First Name:Same name as on your card
Middle Initial:
*Last Name:
*Address, NO PO BOXES! Line 1:Where your statement is mailed
Address Line 2:Apt. or Suite No.
*City:
*State/Province:Canadian provinces included.
*Postal Code
*Phone:
*E-Mail:Valid e-mail is required
*I Agree To Health Contract On The Breeder`s Website:Yes I Agree.
*I Agree To Fill out and send the breeder the Health / Purchase Contract immediately.Yes I will send it now.
*I Have Reviewed and Agree to Everything on all pages of The Breeder Website:
*I Have Read NUTRITION PAGE and will have food and vitamins on hand when puppy arrives:Yes I will order both now.
Any person sending a payment must be included as BUYERS and SIGN the Health Contract: Explain ownership in Notes Above.
*Deposit: deposits are nonrefundable and if something happens to your puppy your deposit is slid to the next puppy of your choice. If you change your mind on getting the puppy your deposit is forfeited, (NO EXCEPTIONS). When buying one of our puppies you are agreeing to this and everything else on our purchase contract/ health guarantee.
Click Submit Below, Then Choose PAYPAL Button if paying by PayPal or NON PAYPAL button if sending a bank wire or mailed in payment
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