Your Name(s)  

Your Street Address 

Your City & State 

Your Home Phone 

Your Cell Phone 

Your Email Address 

Names and Ages of Adults and Children in Your Household 

Names and Ages of Pets in Your Household 

Have you ever owned a Bichon Frise before?  If so, please tell me about him/her. 

What makes you interested owning a Bichon Frise at this point in your life?

How many hours per day would you expect your Bichon to be left alone?

What arrangements will be made for your Bichon when you are away for an extended length of time --- overnight, a weekend away, or a longer vacation?

Who will you be using for Veterinary services? 

What plans do you have for grooming?  Will you be doing it yourself or do you have a professional groomer in mind?

Please tell me anything else you would like about yourself.  Write as much as you like.

Do you have any questions today about Bichons Frises that I can answer for you?  Please write them here and I will get back to you as soon as I am able!

Thank you for taking the time to fill out this form. 
Please click the Submit Button below to send your inquiry to me. 
I will reply as soon as I am able. 

Sincerely,
Dianne Mallon