THE HUNGARIAN PULI CLUB OF GREAT BRITAIN
Chairman Mr John Whitton
Welfare Co-ordinators, Secretary,
Louise Grover Mrs Jacki Evans,
71 Rankin Crescent Lower Lilwall Cottage
Stirlingshire HR5 3EZ
FK4 1RA Tel 01544 230789
Tel 01324 810753
I/We, the undersigned are the rightful owner(s) of the Hungarian Puli (named)______________________
I fully understand that in placing the dog with Hungarian Puli Welfare I relinquish all claim and will have
no further contact with the above dog.
I understand that The Hungarian Puli Club Undertakes to try to re home the dog within a period of 3
I understand that the breeder of the dog may be contacted.
I will not be given the new owners name and address.
I will receive no monies for the above dog and no monies will be due from me, other than a donation
towards the care and placement of my dog, should I wish to do so.
I will hand over all relevant paperwork I have about the dog to the Hungarian Puli Welfare representative
but understand that only the vaccination certificate will be passed to the new owner.
I confirm that the dog is in good health or that any health problems have been discussed with the Welfare
representative and mentioned on the attached questionnaire.
No dog will be accepted without a current vaccination record and an up to date veterinary health report.
I understand and agree with the above terms.
Name & Address (Please print)_________________________________________________________