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Request a Pet


Name
Date
Address
City State Zip
Phone Cell
Email
Type of pet: (cat/dog)
Age: (baby/adult/senior/any)
Sex preferred: (male/female/either)
Breed:
Size:(small/medium/large)
Comments:

Instructions: To email this form, select the form with your mouse, choose copy from your browseer menu and paste into your email software, then edit as needed. Email toadoptnhs@yahoo.com.

 


 

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Nassau Humane Society
PO Box 16090
Fernandina Beach, FL 32035
671 Airport Road
Phone 904-321-1647 Fax 904-491-8411
adoptnhs@yahoo.com