| Store Name |
|
| Street Address |
|
| Address Street 1 |
|
| City: |
|
| Zip Code |
(5 digits) |
| State |
|
| Phone |
|
| Fax |
|
| Email |
|
| Website |
|
| Contact Person |
|
Phone
|
|
| Email |
|
Store Location
|
Free Standing |
| |
In a Strip Mall |
| |
In a Mall |
| Number of full-time staff |
|
| Number of part-time staff |
|
Is your store...?
|
Full-Line
|
|
Specialty |
| |
Grooming Only |
Are you open 7 days a week?
|
Yes |
| |
No |
| Closed which day(s) |
|
| Services |
Grooming |
| |
Boarding |
| |
Day Care |
| |
Home Delivery |
| |
Pets |
| |
Puppies |
Can you house rescues 7 days a week?
|
Yes |
| |
No |
Weekend adoptions only?
|
Yes |
| |
No |
Weekend adoptions - rescues stay over night?
|
Yes |
| |
No |
Weekend adoptions - rescues going home over night?
|
Yes |
| |
No |
Have you worked with rescues before?
|
Yes |
| |
No |
Briefly explain your experience
(Max 250) |
|
| Have you downloaded documents provided? |
|
List industry affiliations and pet related groups
(Max 250) |
|
| Name of local paper |
|
| Contact person for local paper |
|
Further comments
(Max 250) |
|
