Great Plains Pointer Rescue
Nebraska and Iowa
Please note; one $50.00 payment is allotted per applicant despite the number of dogs. We will request a photo of your GSP/Pointer to be emailed to greatplains@cox.net with a hand written sign including the dogs name and the date of submission in the photo. Example: Photo, Fido, 4/5/2020 < this must be in the photo itself.
Payments will be made through PayPal. Please include a valid email for use for the transaction. We realize the challenging times many are facing and how our dogs are always there for us through any crisis. These funds should be used for food, medications or vet care for your dog.
First Name*
Last Name*
Address
City
State/Province
Zip/Postal Code -
Email*
Cell Phone
What is the name of the Dog?*
How will the funds be used?*
Please e-sign and date:*