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 ___________________________________
E-Mail _________________________________________________________
Information about your dog!
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