Birch Hill Doxies -

SPECIALIZING IN QUALITY MINIATURE AND STANDARD DACHSHUNDS

IN A VARIETY OF COATS AND COLORS

Birch Hill Doxies
Paw Paw, WV 25434
ph: 304-703-8221
BirchHillDoxies@gmail.com

BIRCH HILL DOXIE PUPPY AND WAIT LIST APPLICATION

Please answer each question clearly and with as much information as possible. Thank You!

*First Name:

*Last Name:

*Email:

*Mobile Phone:

*Address:

Address Line 2:

*City:

*State/Province:

*ZIP/Postal Code:

*Have you ever owned a Dachshund?

Provide details of your past and current dachshund ownership.

*What animals do you currently own? (Ages, sex, spayed/neutered)

*Where will puppy be housed? Are you prepared for crate training?

*Children in the house? Ages?

*Current Veterinarian:

Please provide Name, address and phone number.

*List the name of 3 references whom I may contact. Include their phone and email?

PLEASE TELL US WHAT YOU ARE SEARCHING FOR IN A DACHSHUND

CHECK ALL THAT APPLY.

*Coat type:

Longhair Smooth Wire

*Gender preference:

Male Female No preference

*Size Preference

Miniature Standard No Preference

*When are you looking to take a dachshund puppy home?

Check all that apply

*Birch Hill Doxies has a very large extended family. The Birch Hill Doxie Family has a private Facebook page where updates on your Birchie as he grows is encouraged, you can meet up with other Birchie owners and also get/give support from other Birchie owners.

Would you be interested in participating?

No Yes

*How did you hear about Birch Hill Doxies? (please use the comments section below to provide further details)

Referred by a friend (Please provide the name in the comments below) Internet Search (Tell us which search engine you used) Breeders.Net Facebook Newspaper (Which newspaper) Other (Let us know)

Questions or Comments:

If you have any questions, please do not hesiate to ask. Please include litter preference, if any, here.

PLEASE ADD MY NAME TO THE BIRCH HILL DOXIES WAITING LIST.

*Date of Request

Birch Hill Doxies (BHD) reserves the right to not sell a puppy or adult dog to anyone for any reason at the sole discretion of BHD at any time up until such time that the prospective buyer takes possession of the dog.

Birch Hill Doxies
Paw Paw, WV 25434
ph: 304-703-8221
BirchHillDoxies@gmail.com