SCA2002 Parade Of Rescue Information
Print this form and mail to:
Deadline for submission - October 1, 2002
Roberta Cutshall
PO Box 14
Guys Mills, PA 16327-0014
814-789-3232
or email to: poltrgst@mdvl.net
| Name | ___________________________________ | ||
| Street | ___________________________________ | ||
| City, ST, Zipcode | ___________________________________ | _______ | _______________ |
| Home Phone | ___________________________________ | ||
| _________________________________________________________ | |||
| Information about your dog! | __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ |
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