MAGSR Adopter Information Update

Thanks for adopting from MAGSR!

And thank you for keeping your contact information up to date. Please take a moment to fill out your new contact info below:

Adopter's Name(s): *

Old Street Address:

Please fill out your complete previous address; Street, City, State & ZIP

New Street Address:

Please fill out your complete current address; Street, City, State & ZIP

Current Phone Numbers (no spaces or hashes):

Home Phone:

Work Phone:

Mobile Phone:

Email Address: *

Please make sure you have white-listed "@MAGSR.org" addresses, so you can recieve amail from us.

Name we Gave your Dog:

Please enter your dog's old name

Name your Dog Goes by Now:

Please enter your dog's new name (or "same" if you kept their name)

Dog's MAGSR Tag Number:

NOTE: if your dog has lost its tag, we can replace it. Please note this problem in the notes field below and we will contact you.

Notes:

Is there anything else you'd like to tell us?

Varina Thermal Mugs