Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Where Did You Hear About Us?
Would You Prefer To Message Us Through Fb/Phone? Or Phone Call?
Do You Live In Town Or Farm Acreage? Do You Also Rent/Own?
Can You Describe Your Living Arrangements Such As Do You Work Full time, Casual Or Part Time?
Do You Have Experiences With Dachshunds? Why Have You Chosen A Dachshund ?
Do You Have Knowledge With This Breed?
Are You Intending To Breed/Pet?
Are You Looking For A Sire (Boy) or Dam (Female)
Preference On Colour/ Features?
Would You Like To Ask Any Further Questions?
This Application Is Only For A Waiting List No Guarantees? Depending On Avaliability & Preference, Do You Understand !
Date
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