EXPRESSION OF INTEREST form

Please complete all of the required fields and press submit. Please note this is an expression of interest form and not the adoption application. 

APPLICANTS DETAILS

For just $5 a week you can help us to continue to provide much needed care for our cleft palate puppies. You can set up regular monthly donations via the Paypal button below. All donations over $2 are tax deductible!

PUPPY / DOG DETAILS

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Terms and conditions:
 
(Please read before submitting)
 
1. I agree that under no circumstance is the puppy/ dog mentioned in this application is to be bred from
 
2. By submitting this Expression of Interest Form, I am aware that this is not the adoption application
 
3. I am aware and agree that I own the property listed in this Expression of Interest Application
 
4. I am aware that there is an adoption fee for this puppy/ dog which is to be advised by No Pup Cleft Behind. And I agree that it is to be paid in full prior to receiving the animal
 
5. I am aware and agree that any cleft surgery performed (if any) on the above mentioned dog, may or may not hold as the dog grows and develops throughout its life
 
6. I agree that all information provided by myself, is true and correct and not false or misleading in any way
For just $5 a week you can help us to continue to provide much needed care for our cleft palate puppies. You can set up regular monthly donations via the Paypal button below. All donations over $2 are tax deductible!

NPCB XMAS CARDS NOW AVAILABLE!

100% of proceeds go to our pups!

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For just $5 a week you can help us to continue to provide much needed care for our cleft palate puppies. You can set up regular monthly donations via the Paypal button below. All donations over $2 are tax deductible!

Established in Mandurah, 

Western Australia 6210

Registry # 35788349363

© 2019.  Proudly designed by Flex the Cortex.

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