East Coast Maine Coon Rescue

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We are a 501(c)(3) nonprofit organization and gladly accept donations to help support our work.

Pay Pal to donate@ecmcr.org
Or mail donations to:
ECMCR
88 Auble Road
Blairstown, NJ 07825
rescue@ecmcr.org

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Transport Volunteer Application

If you are interested in becoming a Transport Volunteer or Coordination, ECMCR would appreciate your completion and submission of the following questionnaire:

*Required Fields

Today's Date:	*
Your First Name:	*
Your Last Name:	*
Address:	*
City:	*
State:	* Zip: *

Your E-mail Address:	*
Home Phone:	*
Work Phone:
Cell Phone:
Additional Phone:
Best Time To Call:	*

Vet Information:
Name Vet Record is under:
Your Vet's Name:
Vet's Phone:
Vet's Hours:
If you don't have a vet, please explain why below:


Personal Reference (must be a non-family member):
Please make sure that your reference knows that ECMCR will be contacting them.
Name:
Phone Number:
Relationship:
Best Time To Call:

In What Capacity Are You Involved In Rescue?
Transport How Long?
Transport Coordinator How Long?
If Transport Coordinator, for how many?
Foster Long-Term How Long?
Foster Short-Term How Long?
Other How Long?

Have You Transported For Other Rescue Organizations?	* Yes No
If Yes, What Rescue?
Reference from Coordinators of those transports (name and phone number/email address):


What Type of Vehicle Do You Use For Transporting?
Vehicle Color:	*
Vehicle Year:	*
Vehicle Make:	*
Vehicle Model:	*
License Plate #/State:	*

How far (in miles) would you be willing/able to transport?:	* miles
To:	* miles
From:	* miles

Comments: