KC's KRUISERS Cart donation submission form

Thank you for adding your cart to our fleet to help more pups in need! This information helps us be able to properly fit the next pups appropriately to your cart.

Your Name (First & Last)*

Email*

Is this a REAR Wheel or QUAD cart that you would like to donate?*

What is the brand of the cart?*

We would like to keep your pup's name with the cart, please tell us your pup's name:*

Pup's Breed? Male / Female?*

Approximate weight? & Was your pup larger / smaller / average for their breed? *

Would you like a donation letter? (Yes / No)*

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Wheelchairs can be shipped to:

KC's Kruisers' Shipping address:

Attn: Tauni Beckmann

31724 Casino Dr. # 736

Lake Elsinore, CA 92530

Please complete this form so we have information about your cart to better help future pups & so we know who to thank!

Shade Out DM Foundation

PO Box 736 Lake Elsinore, CA 92531 US

kcskruisers@gmail.com

*** Disclaimer - information posted & shared on this page is merely for informational & educational purposes, owners should always consult their veterinarian!

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