Puppy Application

If you are interested in one of our puppies please fill out the application below.  We will not ship a puppy, however, if you are out of state and fall in love with one of our puppies you are welcome to come pick him/her up.

First Name
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First Name
Last Name
?
Last Name
Address Line 1
Address Line 2
City, State, Zip
Email
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Email address
Phone number
Do you currently own a dog(s)?
Do you currently own a dachshund?
Are you a dog breeder?
Do you plan on breeding your pet at any time?
Will your pet live indoors?
Do you have a fenced-in back yard?
Have you researched the dachshund breed and general puppy care?
Please select one of the following
What is your color preference?
What is your pattern preference?
What is your gender preference?
What coat type do you prefer?
Comments/Do you have a specific puppy that you are interested in?
Please type in the characters in the image.
Please type in the characters in the image.