PUPPY

First and last name (required)

Your Email (required)

Your Phone (required)

Country (required)

City (required)

What do you do for a living? (required)

Have you ever had a dog? Breed? (required)

Have you ever met Basenji in person? (required)

Do you currently have any pets? If yes, type and age please? (required)

Family Information (number of adults and number and ages of children). (required)

What type of dwelling (house / apartment)? (required)

What is your primary goal for your Basenji (Family Pet, Show / Breeding, other)? (required)

Why do you feel that a Basenji is the right fit for your family? (required)

What characteristics do you like on Basenjis? (required)

What characteristics concern you on Basenjis? (required)

Gender Preference. Male or female and why? (required)

How did you hear about us? (required)

Your Note