DANVILLE DACHS
Miniature Long-Haired Dachshunds

QUESTIONNAIRE AND APPLICATION

Please provide the necessary information in the Questionnaire.  We will get back to you as soon as possible regarding your request.

* Required fields
Name *
E-mail Address *
Street Address *
City *
State *
Zip Code *
Telephone number: *
Best Time To Contact
Time Zone
Wants Female or Male
Long-haired and color
Number of and ages of children?
Other pets/dogs? please describe:
Is the area where the dog will be secured/fenced?
Please provide information as to any experience you have had with dachshunds and how soon you would like a dachshund *
Questions / Comments


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