Payment Plan

First name

Last name

Email

Multi-line address

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.

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