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Your Organization's Name (if applicable):

How would you like potential adopters to contact you (check as many as apply)? 

email address above     

phone number above 

alternative email/phone:

Information regarding the rescue dog to be posted:

Dog's Name:

Sex:   Male   Female

Age:

Color:   red/white   tri   black/white   brindle   other:

Neutered/Spayed:   Yes   No

purebred basenji   basenji mix

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By clicking the "Submit" button below, I certify that the information provided above is true and correct.  I understand that www.basenjirescue.net may attempt to validate any information I provide and that www.basenjirescue.net may decline to post any listing.