Rescue Rehome Adoption Application 68F6BE41D0B04513A48C54623FD02F9C First Name Surname Address: Street Number and Name Suburb/Town State (please select) -- Select -- ACT NSW NT QLD SA TAS VIC WA Postcode Email Phone Alternative Phone Number Type of Residence -- Select -- Flat/Unit Standard Suburban Block Acreage (in Suburbia) Rural Property Do you own your own home are you renting Have you previously owned a Murray River Retriever? Is yes, please supply detail Would you prefer -- Select -- Puppy Young Dog Older Dog Would you prefer male female either Do you have children living in the house the puppy/dog is going to live in? Yes No If so, how many and their ages Are there any other animals at the same property? Yes No If yes, which animals and how many? Please add any further information you think may be helpful Submit
