Today's Date:
Name of Sending Rescue:
Phone Number of Sending Rescue (inc area code):
Your Name:
Your Phone (including area code):
Email Address:
City and State of Origin:
City and State of Destination:
Date of Transport:
Number of Dogs For Transport:
Dog’s Name:
Dog’s Age:
Dog’s Size:
Breed:
Weight (pounds):
We need this to reserve an appropriate size crate. If you aren't sure of the breed, tell us what your dog looks like: i.e., "Lab mix" or "Part Pomeranian."
If you are sending multiple dogs, please fill out name, age, height and weight for each dog here:
Name of person(s)/rescue picking up the dog(s):
Phone number of person(s)/rescue listed above (including area code):
Email of person(s)/rescue listed above:
At what location is the above listed picking up their dogs:
We accept cash, money order, cashiers check or PayPal. If you do pay through PayPal there is a $5.00 additional fee per animal.
I have read all the requirements that the above dogs listed will need prior to loading on transport.
Once your request is submitted a Rescue Riders Representative will be in contact with you.
Thanks so much!!!!!
