| Name of Rescue Group |
|
| Mailing Address |
|
| Address Street 1 |
|
| City |
|
| Zip Code |
(5 digits) |
| State |
|
| Phone |
|
| Fax |
|
| Email |
|
| Website |
|
| Contact Person |
|
| Phone |
|
| Fax |
|
| Email Address |
|
| Year started |
|
| Number of full-time staff |
|
| Number of part-time staff |
|
Are you a 501 3(c)?
|
Yes |
| |
No |
Do you agree to send a copy of the 501 3(c) letter?
|
Yes |
| |
No |
Have you worked with a pet store?
|
Yes |
| |
No |
Briefly describe your experience
(Max 250)
|
|
Prefer housing rescues at store throughout week?
|
Yes |
| |
No |
Prefer weekend adoptions with rescues staying over night?
|
Yes |
|
No |
Prefer weekend adoptions with rescues going home over night?
|
Yes |
| |
No |
Which breeds do you work with?
(Max 250): |
|
What city(s) are you interested in?
(Max 250)
|
|
| What radius could you cover? |
|
| List industry/groups affiliation |
|
Have you downloaded any of the documents?
|
Yes |
| |
No |
Further comments
(Max 250)
|
|
