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Shiba Inu Rescue
S.O.S. Save Our Shibas
Refund
Form
Date: ___________________
I,
__________________________________________, release the Shiba Inu/Shiba mix,
named_____________________________________________, back to the Shiba Inu
Rescue, S.O.S. The above named dog was previously adopted by me, but the
adoption was not satisfactory.
I understand that I will receive
$____________, a refund of the original adoption fee for the above named
dog.
Adopter Signature:
___________________________________________
S.O.S. Rescue signature:
_______________________________________