View Warranty & Terms of Sale Note: Shipping puppies is no longer available.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Street Address *City *State *ZIP Code *Which puppy are you interested in? * Are you of legal age, at least 18 years old, to purchase this puppy/dog? *YesNoDo you live in a house/apartment/condo that allows pets? *YesNoIf you rent/lease is it acceptable to have a puppy/dog where you currently live? *YesNoN/ADo all the adults living with you approve of this purchase? Such as spouse, etc. *YesNoN/AShould you have to move to another location, will you be able to relocate with the puppy? *YesNoDo you have other dogs/cats currently? *YesNoIf yes, please list hereHave you ever been convicted of animal abuse or cruelty? *YesNoDo you understand this puppy’s vet, grooming, feeding, and housing needs? *YesNoHave you read Providence Puppies’ warranty? *YesNoAre you buying this puppy for yourself or someone else? *SelfSomeone elseIf you are buying a puppy for someone else do they have permission to own a dog? *YesNoN/APlease state the purpose and use of a puppy purchased from us:Sign your name: *Today's date: *Submit