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Boxer Rescue
Welcome to the Midwest Boxer Rescue Website. If you would like to create an account, click here.


Step (1) Help
First Name:
Last Name:
E-Mail Address:
Please double check your E-mail address so we won't have trouble contacting you!
This address is also used when you return to the site to update your information. If you do not have an E-mail address, you can create an address for free at Yahoo! Mail. Alternately, you may print the application on the final page and fax it to (509) 352-6419. HOWEVER, we do 95% of our contacts via E-mail, so please indicate your preference as to how to contact you. Long distances calls will be made collect to you, or you can be responsible for initiating all contact with MWBR.

If you do use the online print version of the application, please use the keyword "NONE" for your e-mail address. This will allow you to continue the application process error-free. You may also download a copy of the application Here. Fax the completed application to (509) 352-6419.
Password:
Confirm Password:
Street Address:
Street Address Continued:
City:
State:
Zip Code:
Home Phone:
What is the best time to call at home?
Occupation:
Employer:
Work Phone:
Is it acceptable to call at work? Yes No
Reference:
This should be a 'personal' reference who has knowledge of your ability to manage a Boxer, a dog, or other medium-large breed animal. This reference cannot be a member of your family or your spouse's family. By providing this information you are indicating that you understand and agree with MWBR contacting your personal reference as well as your vet.
Reference Phone:
Reference E-mail:
Years Acquainted with this Reference: years.
I would also like to be considered eligible to adopt a Boxer.

Step 1: Personal Information Step 2: Home Information Step 3: Lifestyle Step 4: Your Pet History Step 5: Your New Boxer
 

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