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GUIDE DOGS OF AMERICA
Newsletter Mailing List Form

First Name:         Last Name:   

Street Address:        

City:        State:        Zip:        

Country:        

E-mail:        Phone:   

  1. How did you hear about Guide Dogs of America?   

  2. Are you, or someone you know, interested in receiving a guide dog?    Yes    No
  3. Are you, or someone you know, interested in becoming a volunteer puppy raiser?    Yes    No

  4. Would you like a GDA representative to contact you?    Yes    No

PLEASE NOTE:  When you successfully submit this page, you will be returned to Brando's Dedication Page on the Trojan Horse Antiques website.  If you have changed your mind and do NOT wish to complete this form, click the GDA logo above for Guide Dogs of America, or click here for the Trojan Horse Antiques home page.  Thank you!

 

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