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Nominate a disabled veteran for a free service dog through our program. Your nomination can significantly impact their life. Thank you for supporting our mission to assist those who have served.

Nominee form for Disabled Veterans Service Dog Program

Date of Birth Nominee
Month
Day
Year

Before you submit please review the information is all correct by the best of your knowledg.

Please note: We will be contacting your nominee please make them aware. Also the nominee does have to be a disabled veteran by federal and state standards.

743255643

Rural Hall, NC, USA

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