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Surrender Form

Surrendering A Westie

Full Name

Street Address

Town/City & State

Contact Phone Numbers

Email Address*

Westies Name



Reason for surrendering

Any other relevant information

How soon are you wishing to surrender?

If you are wishing to speak to someone directly in regards to surrendering your Westie, please contact Danielle on ph. 0408 584 568 & leave a text message

All Westie Rescue Inc. is based in Geelong, Victoria, Australia

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