SCCR Supplies Transport Request Form

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IMPORTANT: THIS IS NOT THE FOSTER SUPPLY REQUEST FORM.

Go to www.sccrescue.org/fostersupply FIRST to order your supplies.

This form is only to be used if you are unable to pick up your supplies from the AC yourself.

Friendly Reminder: Transport of dogs, medication pickups, delivery of fecal samples etc. are the responsibility of our wonderful fosters. However, we are happy to provide support for these tasks on an occasional basis. Transport help is not guaranteed. Providing adequate, advanced notice will increase your chances that a transport volunteer can make themselves available to assist you.

Transport date *

Requester name *

Requester phone number *

Pick up time frame *

Delivery time frame *

Dog(s) name *

Supplies to be transported *

Pick-up Location

SCCR Adoption Center 570 N. Smith St. Palatine Il 60067

Hanover Park Animal Care Center, 1920 Ontarioville Rd, Hanover Park, IL 60133, (630) 830-6620

If Other, enter full name, address, and phone number below

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Other

Deliver-to Location *

Cobb & Company, 790 Summit St, Elgin, IL 60120, (847) 741-6770

SCCR Adoption Center, 570 N. Smith St. Palatine, IL 60067Option 1

Foster

Other

If foster or other, enter full name, address, and phone number.

Additional information

Internal Use Only

Last Updated: 050522-DB

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