NORTHWEST HILLS K9 RESCUE, INC.

City: State: Zip: Cell phone: Home Phone: Work phone: Email: Occupation: Age: 21-30 ___ 31-40 ___ 41-50 ___ 51-64 ___ over 64 ____ Ages of Children living at home: Number of Pets, a. ge, Sex and Breeds of dogs living in home: ................
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