Kaleidoscope Field Spaniel
Puppy Inquiry Form
Name:
Street:
City:
Email Address:
State:
Zip :
Telephone:
How did you find us?
Alt phone:
How did you decide on a Field Spaniel?
What gender Field Spaniel is your preference?
Do you  have a color preference?
If yes to above question, what is your preference?
How many members are in your family?  If you have children, what are their ages?
Do you have a fenced in yard?
What is your yard like?
Is there anything additional you would like to add?

Thank you for taking the time to fill out my questionaire so I can better assist you. 

Sincerely,
Patricia Williams
Kaleidoscope Field Spaniels

If referred by personal, who?
Male
Female
No
Yes
Yes
No