Dog Rescue Shelter, Inc. is a non-profit
dog rescue organization in Anytown, USA.

Desired Breed

Some people have a special fondness for particular breeds or characteristics in their pets. Although we cannot make any guarantees, we will do our best to be attentive to everyone's individual desires and notify you when appropriate.

Name:

Email Address:

Daytime Telephone:

Evening Telephone:

Additional Contact Info:
Because the animals depend on our being able to reach you, we ask you to provide any other contact information we may use (cell phone, beeper, family member's phone number, anything...) and/or any instructions on your preferred method of being contacted.es and notify you when appropriate.

Desired Breed:

Additional Comments:

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