Please print this form, fill it out, and mail it with your check (in U.S. Dollars only, please) payable to

Southwest Airedale Terrier Rescue

to:

Southwest Airedale Terrier Rescue
2225 E. Prince Rd.
Tucson, AZ 85719


Name:


Telephone:


E-Mail Address:


Postal Address:


City, State and Zip Code: