***This portion is to only be completed at the time of adoption***
Adopter has tendered an Adoption Fee in the amount of $______________ to SOS Rescue in consideration for adoption of the above described animal. The adoption of this animal is subject to the terms and conditions described above. SOS Rescue acknowledges receipt of this payment.
Method of payment (include check number if applicable): _____________________
Date of Contract: __________________
Name of adopted animal and microchip number:
____________________________
Adopter’s signature(s) and date:
(1) ___________________________
(2) ___________________________
SOS Rescue Representative’s signature and date:
_____________________________