Animal Welfare Organization Info

Register Your Organization with Dog Tracks

Date / Time: 2010-09-07 12:58:22

* Required information.

Thank you for participating in Dog Tracks efforts to promote volunteering and donations to rescue and adoption organizations. In order to help potential volunteers and donors find your organization we need the following information:

Organization Name:*
A value is required.

Area Served

Please provide a general description of the area served by your organization, e.g. “Northern Illinois”, “Southern California”, or “New York, NY”. Then, enter the primary Zip Code for the center of the territory your organization serves. Finally, enter the radius (in miles) around the Zip Code which your organization serves. If your organization services adoptions nationally, simply select “National” from the drop down menu. This information will be used on the website to allow visitors to search for organizations in their area.

Description:*
A value is required. Zip Code:*
A value is required. Required format: 00000 Radius:*
A value is required.

Breed and Website Information Breed Specialty:
Website Address:
A value is required. Required format: http://www.domain.com

Please type full address, such as http://www.illinoisdogrescue.com. Leave this field blank if your organization does not have a website.

Petfinder.com Page:
A value is required. Required format: http://www.domain.com

Please type full address, such as http://www.petfinder.com/shelters/IL108.html. Please leave this field blank if your organization does not have a listing on Petfinder.com.

Pets911.com Page:
A value is required. Required format: http://domain.com

Please type full address, such as http://justanimalsshelter.pets911.com/. Please leave this field blank if your organization does not have a listing on Pets911.com.

Adoptions Contact Information Name:
A value is required. Please enter a valid name. Email:
A value is required. Required format: name@domain.com Phone:
A value is required. Required format: (000) 000-0000

Donations Contact Information Name:
A value is required. Please enter a valid name. Email:
A value is required. Required format: name@domain.com Phone:
A value is required. Required format: (000) 000-0000

Volunteer Contact Information Name:
A value is required. Please enter a valid name. Email:
A value is required. Required format: name@domain.com Phone:
A value is required. Required format: (000) 000-0000

Dog Tracks Contact Information

This info is NOT accessible to the public and is the PHYSICAL ADDRESS of whom we should contact regarding Dog Tracks-related activity only; we do not sell this information, ever.

Name:*
A value is required. Please enter a valid name. Address 1:*
A value is required. Please enter a valid address. Address 2:
A value is required. Please enter a valid address. City:*
A value is required. Please enter a valid city. State:*
A value is required. Zip Code:* A value is required. Required format: 00000 Phone:
A value is required. Required format: (000) 000-0000 Fax:
A value is required. Required format: (000) 000-0000 Email:*
A value is required. Required format: name@domain.com 501(c)3 Reg Number:
A value is required.

Enter your registration number in the following format XX-XXXXXXX.

Password Setup

Please choose a password you’ll remember!

Password:*
A value is required. Verify Password:*
A value is required.