REQUEST FOR FENCE

Whether you are looking for a fence for you or for someone else, please complete the form below. We operate in Georgia and are limited to BARROW & JACKSON counties at this time.

* Indicates required field

Name *

First

Last

Phone *

Email *

Are you the owner of the dog(s)? *

How would you like to be contacted? Phone/Email/Either? *

If not, do you wish to remain anonymous *

If not, have you approached the owner? Describe the interaction. *

Dog Information - Name of Owner *

Address *

City, State Zip *

Is the property address owned or rented? *

Name of Dog *

Description of dog (color, size, breed) *

Is the dog outside 24-7? *

Does the dog have any shelter? *

How many dogs are chained? *

How old is the dog? *

Is the dog spayed / neutered? *

Does the dog have any health issues? Example: Heartworms, Ringworm, Etc. Please describe: *

Why is the dog chained? *

Is the dog on flea and tick preventative? If so, what kind? *

Is the dog on heartworm preventative? If so, what kind? *

Describe the dogs living conditions. If you have any photos, please upload them below *

Upload File *

Max file size: 20MB

If approved would you be willing to help with the fence? (not required) *

Submit

client_release_of_liability_otc_2019.pdf
File Size:	87 kb
File Type:	pdf