Application Form

(402)-213-7337
(REDS)
E-MAIL US

Application & Deposit

We are currently accepting deposits on our dogs. There is a $500.00 non-refundable deposit towards the purchase of your dog.
If you have any questions regarding this form please contact us at rednosepitbulls@hotmail.com
Or you may call us at (402)-213-REDS.

*At this time we ask that you print this form out and mail it to:
P.O. Box 241381 / Omaha, NE / 68124-1381

Address:
City, State & Zip:
Phone:
Age:
Optional Contact: (cell phone, work, etc...)
E-mail:
PREFERENCES:
Gender:	Male Female
Type: (check all that apply)	Red/Red Nose Red Red/Red Nose Red Brindle/Red Nose Solid Red Nose
Age: (Please be specific)
How did you hear about us?
GENERAL INFORMATION:

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