This form will allow you to register yourself as a rescue contact on the Border Collie Rescue pages. Please note that we do not check credentials nor do we vouch for the veracity or conduct of any individuals listed on this site. We are serving as a place for initial contacts or a way to communicate your intentions - nothing more. There is absolutely no charge for this service.

Please fill out this form as completely as possible. Please check all boxes that apply where appropriate. You may also register a dog for listing on the Border Collie Rescue pages by filling out our online form.


If you would like to change your listing, remove yourself fromthe list, or include additional information, you may do so by sending abrief email message to the following address:

or

you can send your request to the following snail mail address:

Border Collie Rescue
16051 E FM 1097
Willis, TX 77378-4077

If you would like additional information concerning Border Collie Rescueor would like to get involved further, you may call Border Collie Rescueat 352-473-0100.


Rescuer Registration

Name

Address:

Phone number:

Email address:

Rescue organization affiliation:


Which of the following are you involved in (or willing to become involvedin)?

  1. ActiveRescuer (taking in dogs, placing them in homes)
  2. FosterHome
  3. ConductHome Visits
  4. Transport
  5. SupportStaff
  6. Fundraising
  7. Other services


To reset the form, press this button:

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Page last updated March 10, 2000. All material Copyright © 2004 Border Collie Rescue, Inc.
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