Rainbow Rescue & Adoption of West Virginia - Submit Friend Info to RR&A Network of Friends - rescue@pobox.com Rescue Rescue Rescue Rescue Rescue Rescue Rescue Rescue Rescue Rescue Rescue Rescue Rescue Rescue Rescue Rescue

Post A Friend's Information
to the RR&A Network of Friends!

Benson



"Rainbow Rescue & Adoption of WV"
v4.0 © 1995-2000 by Kammi Kai Hefner
rescue@pobox.com

This page was last updated January 1, 2000.

SUBMISSION OF INFORMATION

Please provide as much information as possible about your situation, or a situation you have read about in the newspaper, or have seen posted at your vets or on a community bulletin board. If you leave fields with default values the RR&A Network will not be able to help you or your Friend as much. Please try to complete all fields to the best of your knowledge. Fields in RED are REQUIRED. Use your "Best Guess" when necessary. Thanks!


Your Personal Contact Information

ONLY your Full Name, City, State, Phone Number, and 1st Email Address, will be posted to the RR&A Network of Friends and other appropriate lists and individual rescue entities. Any other information you provide that is NOT REQUIRED, will also be posted.

Do you give permission to cross post your:

     Full Name, City, State, Phone Number, 1st Email Address?

If you do not give permission to post this information, we will contact you and perhaps we can list RRR&A and Rescue@pobox.com as the Point of Contact for your Friend's situiation.

Today's Date:
Salutation:
First Name:
Middle Name:
Last Name:
Suffix:
Full Name:
Organization:
Street Address:
City:
State:
Zip Code:
Phone Number:
Cell Number:
Best Time to Call:
Voice Mail?
Fax Number:
1st Email Address:
Confirm Email:
2nd Email Address:
3rd Email Address:
URL:


Your Friend's Situation

Please provide the appropraite details (newspaper name, vet's office, other person's phone numbers/email address and contact information, shelter's name, etc.) as applicable to your situation indicated in the previous question.
Situation:
Time of Situation:
Date of Situation:
Location of Situation:
Offering a REWARD?
If Yes, how much?
Situation Comments:


Friend's Identification Information

Primary Dog Breed: Secondary Dog Breed:
Primary Cat Breed: Secondary Cat Breed:
Other Species:
Gender:
Date of Birth: Approx Age:
Exact Age: Years: Months:
Color:
Height:
Weight:
Coat Length:
Distinct Markings:
URL:
Submitting a Picture(s)?
Good with Kids?
Good with (other) Dogs?
Good with (other) Cats?
Other Information:


Friend's POC Information

If someone other than yourself is the Point of Contact (POC) for this situation, please provide the following POC information. Try to at least list a working email address and a phone number with an answering device [answering machine, voice mail - be sure to change the message to correspond] or one where someone can answer most of the time. If that's not possible then feel free to list 304 825-6105 - after you have contacted us! You don't have to provide your name or their name if you are not comfortable having it airred to the public.

Otherwise, you and the information listed in the "Your Personal Contact Information" section will be listed for this situation.

Are you the POC for this situation?
POC Salutation:
POC First Name:
POC Middle Name:
POC Last Name:
POC Suffix:
POC Full Name:
POC Organization:
POC Street Address:
POC City:
POC State:
POC Zip Code:
POC Phone Number:
POC Cell Number:
POC Best Time to Call:
POC Voice Mail?
POC Fax Number:
POC 1st Email Address:
POC Confirm Email:
POC 2nd Email Address:
POC 3rd Email Address:
POC URL:
POC Other Information:

You may want to print [File|Print...] this page before submtting your information, so you will have a copy for your records!

    

If you receive an ERROR message, use the Back option to return to this page.
DO NOT HIT the "Fill Out" link on the Error Page, or you will loose all you've typed.


"There's Always Hope At The End of Your Rainbow!"
Rainbow Rescue & Adoption of WV
www.RainbowRescueofWV.org
Join the Rainbow Rescue Network of Friends today!
v4.0 © 1995-2000 by Kammi Kai Hefner
rescue@pobox.com