We would appreciate your taking the time to fill out this form and e-mail or send it to us.

Your Name:
Address 1:
Address 2:
City:
State/Province:
Postal/Zip Code:
Country:
Telephone:
E-Mail Address:
Home Veterinarian's Name/Phone:
Adoption date:
Dog or Cat?
Male or Female?
Pet's new name:
If a cat, was his/her ear notched?
Detailed physical and personality description:
Where did you adopt the dog/cat from? (From Club Orient property or beach, an animal organization adoption center at a vet's office or other, please describe in as much detail as possible.)
Would you like to add your new pet to our website Stories page?
I promise to spay/neuter* my new pet when I get home or at 4 months of age and provide S.N.O.B. with proof of spaying/neutering. [ Choose . . . ] Yes Already done No *Cats with notched ears have already been spayed/neutered-- have your veterinarian check if you are unsure.
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