Einerlei Pet Photo Contest Entry Blank

Deadline for entry:  July 31st

 

Name of owner: __________________________

Address: __________________________

City: ______________________ State: _______    Zip:________

email:  ____________________________________

Phone Number: (____) ____________

Name of Pet: __________________________

Amount enclosed ($5 per entry): ______________

Caption (optional): ____________________________

 

Send entry form, $5 check (written to: Copper Country Humane Society), and photo to:

Einerlei
P.O. Box 679
Chassell, MI 49916

(or drop the form and photo at the store in Chassell)