Owner Surrender Info Request

Please send me information on surrendering a basset.

1. Last Name*

---

2. First Name*

---

3. Middle Name*

---

4. Address*

---

5. Address 2*

---

6. City*

---

7. State* Utah Colorado Idaho Nevada Wyoming (We accept bassets from these states only.)

---

8. Zipcode*

---

9. Home Phone*

---

10. Work Phone*

---

11. Cell Phone*

---

12. Email*

---

13. Please explain your situation.

---

14. How did you hear about UFBH?

---

15. Please contact me by:

    Email (Quickest Response Time) Snail Mail Telephone