| (Check
One) |
Dr. Mr.
Mrs. Ms.
Miss |
| First
Name |
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| Last
Name |
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| Address
1 |
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| Address
2 |
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| City |
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| State |
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| Postal
Code |
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| E-mail |
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| Telephone |
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| Telephone
Ext. |
|
| FAX |
|
| Do You Have Stairs
in Your House? |
|
| Will You Allow Your
Pet on the Furniture? |
|
| Are You A
Breeder? |
|
| Do You Plan On
Breeding Your Pet at any Time? |
|
| Will Someone Be With
Your Pet At All Times? |
|
| Will You Pet Sleep
In Bed With You or Own Crate? |
|
| Will Your Pet Live
In Doors? |
|
| Do You Have A Fenced
In BAckyard? |
|
| Would You Feed Your
Pet Table Scraps? |
|
| Are You Able To
Provide For Your Puppy? |
|
| Food |
|
| Water |
|
| Shelter |
|
| Vet
Visits |
|
| Love and
ETC...? |
|
| Have You Researched
The Dachshund Breed and General Puppy Care? |
|
| Have You Read and
Understand Our Contract and Health Guarantee? |
|
| Will You Have Him or
Her Spayed or Neutered? |
|
| Your Puppy
Preferences: |
|
| Color |
|
| Pattern |
|
| Size |
|
| Sex |
|
| Coat
Type |
|
Comments/Special
Instructions |
|
Important:
Please note that
requested information is processed within one business
day. |
|
|
