Please complete the form in as much detail as possible. Make sure all information is correct before submitting the form; especially your email address or we will NOT be able to contact you. We do NOT ship our puppies. Please do not submit this Questionnaire if you do not live in California, Oregon, Nevada or within driving distance of our home. You must be willing to visit with us at least twice at our home in Danville, California.
Name
Occupation
Address
City, State Zip Code
Telephone Number
Email Address
Website
Do you have children living at home? Yes No
Names & Ages of Children
Average number of hours per day that someone will not be home to care for the puppy
Please tell us about your family life:
Is there anything else you think we should know about you or your family?
Are you interested in:
Male puppy?
Female puppy?
Doesn't matter?
Would you like a:
Potential Show Puppy?
Pet Puppy?
You are visitor .
Janice Sheehy-Metz Janice@Jasme.com or Steve Metz Steve@Jasme.com
We welcome your comments and suggestions about this web site. Please email Webmaster at Webmaster@Jasme.com.
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The Bichon Frise GIF images are the sole property of Janice Sheehy-Metz or Kiyomi Ochiai's estate. These GIF images are copyrighted and may NOT be copied from this website without the express written permission of the artist.