D and D Norwiches


                                Waiting List

We are now requiring a $500 deposit to be added to our waiting list for future litters to separate serious inquiries from those that are not. If you would like to be added to the waiting list for future litters, please fill out the following form completely, and you will receive an email with directions for sending the deposit. The deposit will be applied towards the purchase price of your puppy.

The deposit is non refundable.

We will be talking to you and asking you questions before we place one of our puppies with you.  Feel free to ask us questions too.

Thank you for you interest in our dogs.

Additional pictures available upon request.

First Name     Last Name 

Street Address

City  State      Zip Code

Home Phone     Work/Cell Phone

Best time to reach you       Email Address

I am interested in a:  male   female

We try hard to make sure that our puppies find good homes, and to make sure that you are also happy with your puppy. Please answer the following questions as honestly as possible. There is no wrong answer. This is just a guide for us to make sure we provide you with the information that you will need.

Have you ever owned a dog before?
Yes No
Have you ever owned a Norwich before?
Yes No
Do you have a fenced yard?
Yes No
Have you ever raised a puppy before?
Yes No

Please list two references. If you have a current veterinarian, please use their name as one of your references:

Reference #1:


Phone #: Relationship:

Reference #2:


Phone #:

Questions or comments:

By filling out this form along with my $500.00 non-refundable deposit,

I have agreed to purchase a puppy.  This form acts as a binding purchase agreement between D And D Norwiches and the applicant on this form.


Please copy and paste this form into an e-mail and e-mail it to us at [email protected]