Place Order / Request Quotation

To process your order or inquiry efficiently, we kindly ask you to provide us with the following important information:

Please tick relevant box * I would like to place an order
I would like to ask for a quotation

1. Order / Inquiry

Strain / Nomenclature	Male / Female	Age / Weight	Quantity

Add product line

Time mated

Plug day

Mother with X number of pups

Male / Female / Mixed pups

Age of pups (weeks)

Crate reference

Delivery date (request)

Name of end user (address and department)

End user telephone no.

End user email address

Name of person ordering

Telephone number

Send order confirmation/quotation to email *

Additional comments to order/inquiry?

2. Delivery Information

Company *

Department

Address

Name

Email *

Telephone number *

3. Invoice Information

Company

Department

Address

Name

Telephone number

Invoice Reference

Order reference