Puppy Adoption Application

Thank you for your interest in adopting one of our Samoyed puppies. Please tell us a little about you and your home so we can find the right match. We'll review every application personally and reply by email.

If you are human, leave this field blank.

Your contact information

Full name *

Email *

Phone *

Address (street, city, state, zip) *

About you and your home

Have you ever owned a dog before? *

Yes - A Samoyed Yes - other breeds No

Why would you like to adopt a Samoyed puppy? *

I am interested to adopt a *

Male puppy Female puppy either Male or Female puppy

Family status *

Geography and Housing *

City Suburb Country

Do you have a fenced yard? *

Where will the puppy live? *

Pick-up preference *

$0 - I will come to pick up my puppy Delivery to my address (price quoted by NY Samoyeds) Meet halfway / discuss

Terms I understand that this application is for the purchase of a Samoyed puppy registered with limited registration (the puppy can be registered with the AKC, but not its descendants without written consent from NY Samoyeds LLC). A non-refundable deposit is required to reserve a puppy, and the puppy will not be released until full payment has been received. NY Samoyeds LLC reserves the right to cancel the purchase at any time before delivery. *

Questions? Email contact@nysamoyeds.com or call 607-376-7789.