Payment Plan

FINANCIAL ASSISTANCE REPAYMENT AGREEMENT

First name

Last name

Address

Email

Phone

Amount borrowed

Monthly repayment amount

Please choose a start date

Repayment Agreement:

By signing the declaration below you agree to

Pay back the full amount borrowed from the Scottish Greyhound Sanctuary (SGS) using the schedule above
To inform SGS right away if, for any reason, you are unable to make or maintain payments

Signature

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