Harnessed to Hope Northern Breed Rescue
Post Office Box 3079
Bethlehem, Pa 18017
1-866-65-RESCU E • www.nbrescue.com
HTHNBR is a non-profit organization as recognized by the Internal Revenue Service
pursuant to Section 501(c)3 of the Internal Revenue Code.
Please answer all questions to the best of your ability. Missing information may cause a delay in processing your application.Once your application is submitted, a HTHNBR representative will be in contact with you. If you have any questions, or don’t hear from us within 7 days, please email firstname.lastname@example.org.
* Is age of applicant under 18?
If so, how old is the applicant?
* Personal References:
Please list three references (only one can be a family member)
* Indicates Response Required