Puppy Application

Please complete this application FIRST, then wait to hear back from us and then you can make your purchase, you must be approved prior to submitting payment.

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pickup / Delivery: {Delivery is $1.60 per mile to destination}

I will Pickup Puppy at Brooklea Farms Homestead in Bath NY

I need my Puppy delivered to my home please Quote me a delivery price

Preferred Pickup/Delivery date

YYYY

What Puppy are you interested in?

Uno $2800

Fluffy $1400

Curly $1200

Tiny #2500

Wavy $1200

Upcoming AKC Golden Retriever Puppy

Please describe your Family, Other pets in the home etc.

How did you hear of us?

Who Referred you, if anyone

Visit us

Brooklea Farms Homestead

7670 State Route 415 N

Bath, NY 14810

Steuben County New York State

Hours
OPEN @ Stand everyday!

E-mail for appt to see dogs, training etc.,

E-Mail us: BrookleaFarms@Bath-NY.com

Contact Us

Visit our Farm Stand anytime! To see the pups or visit the dogs drop us an email below! If we dont have what you’re seeking at the stand stop in! We are almost always home!

BrookleaFarms@Bath-NY.com
7670 State Route 415 Bath NY 14810