Waiting List Form

Name *

First Name

Last Name

Phone *

Country

(###)

###

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Checkbox *

Sheik x Vivi

Jumanji x Bucanas

Investment Level *

5k -10k

11k-15k

16k-20k

30k -first pick

Gender Preference *

male

female

any

Agreement *

By checking this box i agree that i have read and understand all terms and conditions outlined on the Samba Kennels website on "Breedings" Page, included but not limited to: deposit policies, pick selection process, keeper policies, payment terms and all breeding specific conditions.

I agree