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ANIMAL ADOPTION APPLICATION - …

PPR ANIMAL ADOPTION APPLICATION - Page 1 of 2 _____ _____ _____ Date Name Tag Perfect Pet Rescue, Inc. 10737 venice Boulevard. Los Angeles, California 90034 Tel (310) 726-3731 or (310) 559-3770 Fax (310) 550-0121 ANIMAL ADOPTION APPLICATION ** Completion of this APPLICATION does not guarantee ADOPTION of a Perfect Pet Rescue ANIMAL ** Name of applicant _____ Occupation _____ Name of Spouse/Significant Other _____ Occupation _____ Names (and ages) of children, if any _____ Street Address _____ City _____ State _____ Zip _____ Home Phone _____ Work Phone _____ Cell Phone _____ Email Address_____ Emergency Contact - Name _____ Best phone number to reach_____ Do you live in a House _____ Apartment _____ Condominium _____ Townhouse _____ Other _____ Landlord s Name and Phone Number _____ Do you Own _____ Rent _____ If you rent, do you have your landlord s permission to have a pet?

PPR ANIMAL ADOPTION APPLICATION - Page 1 of 2 Date Name Tag Perfect Pet Rescue, Inc. 10737 Venice Boulevard. Los Angeles, California 90034

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