| Contact Name |
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| Company/Organization Name |
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| Phone & Time Zone |
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| Where Do You Live? (City and State, ZIP Code) |
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| Best time to Call You by phone? |
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| Your Email address |
(must be valid & be sure to check your Junk/Bulk folder for our
reply and accept us for future, these are kept in strict confidence for My Cpr.org use only)
Time will always be of the essence for rescues, be sure you check your emails twice daily! |
Check As Many As Apply-
I can offer..... |
My Skills, My Knowledge, My Space,
My Time,
My Money,
My Items to Donate Ideas/Suggestions |
I am an Individual, a 501-C,
work with a 501-C, a Company |
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| Check all that you can help with. |
All
Dogs
Breed Specific Cats
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All Dogs
Breed Specific Dogs
Large Breed Dogs
Small Breed Dogs
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All Horses
Breed Specific Horses
Mini/Pony Horses
Full size Mules
Full size Donkeys
Mini Donkeys and Mules
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Birds
Reptiles
Species Specific Exotics
Other Please detail below |
I Can Donate
Specific Rescue Services |
Horse Trimming/Farriering/Corrective
I can offer X # of
Trimmings/Farriering per month
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Horse Training
I
can accept X # of Diffcult Horses to rehab per month/60 days
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Veteranarian Services Small Animal
Veteranarian Services Large Animal
I can offer X # of Spay/Neuter's
per month
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Dog Training Difficult/Aggressive
Breed
I
can accept X # of Diffcult Dogs to rehab per month
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Interview and approve
new Adoptive Families/Homes
Please fill in the # and type below in the I
CAN DO text box. |
| I CAN DO..... |
I can Pick up and Foster
I can Pick up and Deliver
I can Foster Only
I can check out and approve
Adoptive Homes
I can service a 50 mile radius
I can service a 100 mile radius
I can travel anywhere.
I can check into
and confront neglect/abuse reports.
Other |
Space for detail if needed
I CAN DO..... |
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| Technical Items/Services I can volunteer. |
Software
Hardware
Website construction/improvements
Legal
Consulting
Back-up/Relief
Website Monitoring and Contacting
I like to organize and do Fund Raising on behalf
of
My Cpr.org
Other |
| Please detail the Technical Items. Services you can
volunteer/donate.. |
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Money you can "pledge" to donate.
We will get back to you with specifics.
We are a GREEN organization. |
For
Dogs For Cats
For Horses For Birds
For Reptiles For Other Exotics
One Time
Monthly Annually
Other
$5 $15 $50 $100
$250 $500 $1000
Other |
| Please detail money you can donate.. |
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| Items you can donate for..... |
For Dogs For Cats For Horses/Equines
Clean Horse HAY
For Birds For Reptiles Other Exotics |
| Please detail the items you can donate. We will contact
someone in your area who can utilize them for our rescues. |
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What kind of facility do you have?
Please detail. |
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| If You Decided To Link In With Us |
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| I have Dog Kennels/Space in my home and can accept X # |
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| My Present Rescue Efforts |
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| I have a Barn and Stalls for Equines I can accept X # |
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| I have outdoor pens with shelters for Equines I can accept X # |
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| I have outdoor pens with no shelters for Equines I can accept X # |
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| I have facility to short term Quarantine X # Equines |
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| I can offer X# free/reduced fee micro chippings each month |
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| I can offer X# free/reduced fee freeze brandings each month |
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| As a REGISTRY I can offer X# free/reduced fee registrations |
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| I can offer X# Free/Reduced Fee Emergency Vet Service Calls Per Month |
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| I can offer X# Free/Reduced Fee Emergency Vet Service Farm Calls Per Month |
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| Preferred Next Contact |
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| How Soon Do You Want Contact? |
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| Open for Suggestions. |
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| What Is Your "Ready-to-go" Status? |
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| What's Your KEY MOTIVATION? |
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| How long can you be involved? |
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Anything Else We Should Know?
Any suggestions to add to our form? We plan to expand till the animals no longer need us. |
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READY? CLICK THE BUTTON!  |
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