Puppy Request Form

Use this form to contact us to get more information about our dogs, upcoming
breedings, or current litters.
Keeley English Setters
Your name:
Your email address:
Your address:
Your phone number:
Referred by:
Are you looking for
an English Setter,
English Springer
Spaniel, or a
Dachshund?:
Sex & color preferred:
Are you looking for
an adult or a puppy:
Ages of Children in
your home:
Current pets and their
ages:
Previous pets:
Who will be the
primary caregiver:
Who will care for the
dog while you are on
vacation and while
you are at work:
Do you own your
home and is your
yard fenced:
Do you plan to crate
train your puppy:
Thank you for taking the time to answer our questionnaire.  This
will help us to find the best puppy for your family!  Any questions
you may have or any additional information you would like for us
to know, please type in the comment box below.  We will get
back to you as soon as possible!  Thank you!
Comments:
We currently do not have any puppies available.  Our next breeding is planned for the Summer of 2011.  
Please check back for more details or fill out the questionnaire below and we will be in touch with you!
Happy Holidays!