Registered Address: 47 South 14th St, Pittsburgh PA 15203-1543

German Shorthaired Pointer Rescue Pennsylvania

Surrender Application and Relinquishment Form

PLEASE READ, REVIEW AND BE SURE YOU UNDERSTAND ALL INFORMATION AND STATEMENTS BEFORE ELECTRONICALLY SIGNING AND SUBMITTING YOUR ADOPTER APPLICATION

**** Please Note: All form fields are required to be completed. If an answer does not appear correct, you MUST fill it in with "N/A".

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