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| First Name | |
| Last Name | |
| Street Address | |
| Address (cont.) | |
| City | |
| Zip/Postal Code | |
| Email Address |
(example@xxx.com) For quicker responses please provide an email address |
| Cell Phone | |
| Work Phone | |
| Home Phone | |
| Colony already registered? | Yes No |
| Location of Colony: | |
| Street Address | |
| Address (cont.) | |
| City | |
| Zip/Postal Code | |
| Number of cats in Colony | |
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Can
you make a donation for spay/neuter services?
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Amount you can donate?:
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| Comments | |
| Helpline Monitor Name: (for helpline monitor's use only) | |
| Date of call: (for helpline monitor's use only) | (i.e. 00/00/2006) |
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Please note the Space Coast
Feline Network is in desperate need of donations in order to continue to
spay/neuter and vaccinate feral cats. We rely on donations only and do not
receive any county funding. If you can donate some monies to help defray
the cost to the organization it would be greatly appreciated and allow us to
continue our efforts.
You will receive a form confirmation page. If you do
not receive a form confirmation page please email
treed2@cfl.rr.com
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The Space Coast Feline Network receives 100% of
all contributions. We do no employ ony professional fund-raising
consultants or solicitors. Florida Dept. of Agriculture and Consumer
Services registration number 15-17-092113-85C.
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