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Companion Assistance Dogs
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Mon - Sat : 09.00-17.00
+1 (260) 282-0355
companionassistancedogs@gmail.com
+1 (260) 282-0355
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Name
*
First
Last
Phone
Address
Email
*
Why are you applying for a service dog?
*
What type of support is needed?
Mobility Support
Emotional Support
Companionship and Daily Assistance
Which dog are you interested in?
Dwayne
Bubbles
Fennekin
Shadow
Apollo
Goose
concerns? Why you
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a Dog?
Submit
