Synergy Stables, Inc. is
proud to offer to the public:
AKC Pembroke Corgis
ACHC Cojacks

Online Puppy Form
What breed of puppy are you interested in purchasing?
 Corgi
Cojack
Which gender do you prefer?
 Male
Female
What age animal would you like?
 Puppy (to 6 months)
Puppy (6 to 12 months)
Adult (Over 1 year)
How would you like to pick your puppy up?
 Farm Pick-Up
Airport Deliver
If you are interested in Airport delivery,
please let us know you nearest airport.
Prefered payment option:
 Check
PayPal
Credit Card
Are soon are you interested in purchasing a puppy?
 Immediately
1-5 Months
6-12 Months
1 Year +
Just looking
Are you interested Corgi or Cojack stud services?
 Yes
No
Questions or Comments:
The rest of this form must be filled out to receive a response from Synergy Stables, Inc.
Name:
Address:
City, State Zip:
Phone Number:
Cell Phone Number:
Fax:
E-mail:
How would you like a response:
Would you like to receive timely updates
from Synergy Stables, Inc. puppies?
 Yes
No, Thank You.


Call today to reserve your spot!
803-867-9100 or 706-495-5126
or E-mail: info@synergystables.com