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Surrender Form

Surrendering A Westie

Full Name

Street Address

Town/City & State

Contact Phone Numbers

Email Address*

Westies Name

Age

Sex

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Reason for surrendering

Any other relevant information

How soon are you wishing to surrender?

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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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