Survey - Get The Inside Scoop!

Get The Inside Scoop!

1.

Registration Information:

*

Name:

Title	First Required	Last Required

*

Email: Required

Street 1:

Street 2:

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City	State	ZIP

Country:

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*	User Name: Required	5 to 60 characters
*	Password: Required	12 to 99 characters
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2.

Question - Not Required - What type of animals are you interested in?

	Cats
	Dogs
	Other Pets
	Rabbits

3.

Question - Not Required - Are you interested in receiving information about:

	Community Classes
	Critical Needs Network
	Events Updates
	Online Quarterly Newsletter
	Waif of the Week