Mzalia Basenjis - Puppy Enquiry/Registration of Interest Form

If you would like more information about our planned litters, our would like to put your name on our waiting list, 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!)

Puppy Enquiry/Registration of Interest Form

We respect your privacy.
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 Tricolour Brindle No Preference		What sort of puppy are you looking for? Companion Dog Show Dog
Preferred Litter: 2008 Litter 2009 Litter Either litter		Would you like to go on our Puppy Waiting List? Yes please! No, not at this stage

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

Page Created: 01 February 2005 - Last Updated: 01 May 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