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Name of Rescue Group
Type of Animal Your Group Is Interested in Rescuing
Mailing Address of Group
Main Contact Person: Email:
Work Phone: Home Phone:
Persons authorized to rescue from the Animal Center on behalf of your group:
Does your group have a Web site? Yes No
If so, what is the URL?
May we list your web site on the Animal Center's Links page? Yes No
Limitations for rescue or any other information you think might be helpful (example: no senior dogs).
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