Please fill in the following to be considered:

Senior's Name: *

Other pets?

Best time to call you: *

First Name *

Last Name *

Phone *

Email *

Address *

City *

State *

Postal code *

THANK YOU for being part of this project helping to gift PTSD Service Dogs to veterans FREE OF CHARGE!

I understand that by filling in this form with my phone number I am allowing Chuck Waugh Designs, Inc. DBA 'We Love Our Pets' to contact me regarding participation in this book project. I can opt OUT at any time by texting back STOP

Sincerely,
Charles (Chuck) Waugh, Portrait Artist

We ❤️ Our Pets