Please submit this form online. VERY IMPORTANT: When you complete and submit the form, you will get a success page that invites you to sign up for a puppy update e-newsletter. We HIGHLY RECOMMEND that you sign up, as this is the only way we let people know the status of upcoming litters. Newsletters are only sent out when there is a litter on the way.  You can review our pricing and policies here:

Application for the purchase of a Glen of Imaal Terrier

REMEMBER!!  Sign up for the Puppy Update Newsletter after you submit your application!  This is the only way you will learn the status of an upcoming litter.