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Success Story Submission
Success Story Submission
Bernie Haberer
2026-01-19T15:41:58-05:00
Your Information
Name
(Required)
First
Last
Email
(Required)
Your Phone
(Required)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
About your Dog
Adoption Date
(Required)
Month
Day
Year
Current Dog Name
(Required)
Previous Dog Name
(Required)
Foster Name
Foster Location
Dog Image
(Required)
Please upload one high-quality image. Image may be resized or cropped to our website specifications. Max file size 20 MB. Format: .jpg, .jpeg, .png
Success Story
(Required)
Certification
Consent
(Required)
I agree to the statement below:
I am the rightful owner of this image and give SSLR permission to use it and the success story on its website and other materials. I understand the image and story may be edited as necessary.
Date
(Required)
MM slash DD slash YYYY
Signature
(Required)
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