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2. First Name*
3. Last Name*
5. Your Address*
7. City*
8. State
9. Zip Code
11. Phone Number*
12. Alternate Phone Number
14. Email Address
16. Address Where Animal Found*
    If no address, provide cross streets
18. City*
19. State
20. Zip Code
22. What Type of Animal Did You Find?*
    Dog, cat, male, female, breed, color, etc.
24. Please Upload a Picture of the Animal
26. Would You Like to Foster the Animal While We Try to Find its Owner (Foster Period is Typically No More than 5 Business Days]?*
28. If the Animal's Owner is Not Found, Would You Like to Keep the Animal?*
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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