Adoption Fee Payment

Thank you for completing and signing your adoption contract.

Please complete the form below to pay your adoption fee. You have the option to pay with PayPal, a credit card or a check.

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What is the name of the dog you are adopting?*

Please indicate the amount you are paying:*

$550 (Age of dog is 8 years or younger)

$300 (Age of dog is 8 years or older)

Would like to make an additional donation?

Yes

No

How much would you like to donate?

How would you like to pay your adoption fee?*

Online (please see below to input your payment information)

Check: Information will be provided if you check this option.

Please make your check payable to Golden Beginnings Golden Retriever Rescue, Inc. and mail it to the following address: Golden Beginnings Golden Retriever Rescue, Inc. P.O. Box 19848 Houston, TX 77224-9848 Please press submit to complete this form. Thank you!

I would like to cover the cost of the merchant service fee.

Merchant Fee

Price: $0.00

I would like to cover the cost of the merchant service fee.

Merchant Fee

Price: $0.00

Total

Credit Card*

Name

This field is for validation purposes and should be left unchanged.

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