Become an Animal Rescue / Shelter Partner
If you'd like to arrange a meeting wit Dr. Good for the purpose of becoming an animal rescue / shelter partner, please fill out the form below. In the description section, please also indicate the best time for meeting. You can also contact: drgood@homelesspetclubs.org HPF Hotline: (770) 971-0100 or Office: (770) 971-1556

Animal Rescue Partner Form
* Indicates required fields. Please note that your information will not be shared outside of Homeless Pet Clubs.

	*Contact Name *Contact E-mail *Rescue Group Type State/County Facility Humane Organization Rescue Group Other *Verify Contact E-mail *Rescue Group Name *Contact Phone *Rescue Group Address *City *State and *Zip Code AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY *County *Web Site (please include http://) State Licensed? Yes No 501c3 non-profit? Yes No   Shelter/Rescue Description Please type what you see in the CAPTCHA (case sensitive):

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