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Name: Email: Home Phone: Cell phone: Street Address: City/Town: Zip: Is the address above the location of cats in need of TNR?:
Yes
No
Do you live on the premises?:
Yes
No
Approximately how many cats need TNR?: Did you contact the Town of Hempstead Animal Shelter first?:
Yes
No
The date you contacted them?: Did they respond back?:
Yes
No
If yes, the date of response?: If yes, who did you speak to?: Are you currently on the TOHAS wait list for TNR?:
Yes
No
If yes, what number are you on the list?: Actual or approximate date on which TNR will be performed?: If not, why?: PLEASE BRIEFLY DESCRIBE YOUR EXPERIENCE and OUTCOME IN THE SPACE BELOW::