Payment Plan

First name*

Last name*

Email*

Country/Region*

Address*

City*

Zip / Postal code*

Dog's name*

Amount outstanding*

I agree to regularly pay the following amount to SGS until the rehoming cost has been met*

£25

£50

Other

Please state other amount

Payment method

Paypal recurring payment

Standing order/bank transfer

Other

Please state other method

Frequency of payments

4 weekly

Monthly

Fortnightly

Other

Please state other frequency

Date of first payment*

This will be agreed by your re-homing coordinator

I understand that failing to keep to this payment plan places me in breach of the Conditions of Adoption

By signing this I agree to setting up a monthly payment and honouring this until the full rehoming fee has been paid.*

Scottish Charity No: SC039701

Postal address only

24 Abbotshall Road

Cults

Aberdeen

AB15 9JX

Scotland, UK

0845 643 9335

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