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Royce's Rescue

Saving Animals is Our Passion

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FILLABLE ADOPTION AGREEMENT

ANIMAL INFORMATION

Cat/Dog*

Cat

Dog

Breed*

Sex*

Male

Female

Unknown

Spayed/Neutered?*

Yes

No

Unknown

Animal's Name*

Animal's Age*

Color*

Distinguishing Marks*

ADOPTER'S INFORMATION

First name*

Last name*

Email*

Phone*

Address (include City/State/Zip Code)*

VET REFERENCE

Vet's Name

Address

ADOPTION AGREEMENT

I have read and agree with the attached Adoption Agreement.

ELECTRONIC SIGNATURE

Type Full Legal Name

Date

Month

Day

Year

Signature

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Address:

Linda Satterfield

Royce's Rescue

374 Worthington Mill Road

Richboro, PA 18954

Phone:

215-801-6398

Email:

linsatter@verizon.net

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In Memory of "Royce"

1990 - 2005

@royces-rescue

The official registration and financial information of Royce's Rescue may be obtained from the Pennsyvania Dept of State by calling toll free, within Pennsylvania, 1(800)732-0999. Registration does not imply endorsement.

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