FacebookThis field is for validation purposes and should be left unchanged.ALL BASSETS CHERISHED BASSET HOUND RESCUE, INC. P.O. BOX 272 BUFFALO, NEW YORK 14225 ADOPTION CONTRACT Your DetailsName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Dog DetailsName*Number*Sex*FemaleMaleColor*Age*Adoption Fee*Up to 1 Year1 year2-3 years4-7 years8-1011 and upThe adoption fee is calculated based on the dog's age as follows: - up to 1 year $500 - 1 year $450 - 2-3 years $400 - 4-7 years $375 - 8-10 years $300 - 11 and up $250 TOTAL: $0.00 Credit Card*Card Details Cardholder Name Δ
