Mzalia Basenjis - Adoption Form

If you are interested in adopting an older basenji from us, please fill in the form below. You will normally receive an acknowledgement of receipt within 48 hours (unless we are away at a dog show!)

Adoption Registration Form

None of the information you provide on this form will be passed on to a third party.

Name:		Required
eMail:		Required
Tel:		Optional

Where do you live: Where (if other):

Have you read our on-line Basenji Owners' Guide

Have you owned a Basenji before? Yes, I currently own a basenji Yes, I have had a basenji previously No, I have never owned a basenji		Preferred Sex: Male Female No Preference
Preferred Colour: Red and white Black and white Brindle and white Tricolour No Preference		Preferred Age: to 24 months 2 years to 6 years 7 years and over Age does not matter

Do you have any other questions or comments you wish to leave for us?
If so, please enter them below:

Page Created: 31 January 2005 - Last Updated: 19 March 2008

Basenji Lovers have visited this page since the counter was last reset

This page is best viewed at 1024 x 768

Website designed and maintained by Karen Hyland.
Comments and enquiries are always welcome, and can be sent to the Webmaster