Duplin County Animal Services Always spay or neuter your pets.     Visit Shelter Website

ANlMAL SHELTER PersonneI Use OnIy # NOTE: ****** DCAS APPLlCATlON DATE_________________ NAME OF THE ANlMAL_________________ PIease make sure to answer aII questions beIow. Your Name: _______________________________________ Age: __________________________ E-MaiI Address: Spouse/Partner: _______________________________ Age: Address: City/State/Zip: Home teIephone: Do you agree to a home visit before adoption? ___________________________________________ Your empIoyer: __________________________________ Phone: Spouse empIoyer: _________________________________ Phone: Number of ChiIdren: _______________________________________ Ages: ls everyone in your househoId in agreement with a dog? Yes No lf no, who is not? Why? How Iong have you Iived at this address? PIease indicate which best describes your current Iiving situation: House Condo Apartment MobiIe Home Do you: Rent Own Live w/P

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Last updated Nov 5, 2014 Shelter Login

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