Contact Us Contact Us About Getting A Dog Step 1 of 2 50% Contact DetailsName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Occupation* Spouse* Yes No Occupation* Children* Yes No How Many*Ages*Please put "," between ages Do You Own Other Pets* Yes No Breed* How Many?*Please enter a number less than or equal to 10.Is Your Home A Single Floor or Multi Floor* Single Floor Multi Floor Does It Have A Fenced Yard?* Yes No What Conditions Will Your Dog Live In?* Inside Outside Both Does Your Home Have A Doggy Door?* Yes No Who Will Be The Primary Caretaker?* How Many Hours A Day Will Your Pet Be Left Alone?*Please put 0-24Please enter a number less than or equal to 24.Have Your Owned A Dachshund Before?* Yes No How Many?*Please enter a number less than or equal to 12.How Long Did They Live?* What Plans Do You Have For Your Dog?* Family Pet Hunting/Tracking Field Trials Earth Dog What Veterinarian Will You Use?Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*All completed questionnaires must be followed up with a phone conversation and a deposit before a puppy will be placed in a new home.
