My Buddy Butch Radio Rescue of the Week Request

 
Hi, You have reached the information form for the My Buddy Butch Rescue of the Week Interview Segment. Please fill out all of the information below as completely as you can and submit it. It doesn't matter if you are large or small, if you are rescuing animals and meet our criteria we will try to get you scheduled as soon as we can! Also, don't forget to sign up for the My Buddy Butch Chronicle because we feature rescue orgs in each edition. Thanks!
 
 
Rescue Organization Name
 
Address
 
City
 
State
 
Zip
 
Years in operation
 
Total Placements
 
 
 
Types of Animals_Comments
 
501c3 _yes or no
 
Total Animals Available
 
Contact Name
 
Contact Phone Number
 
Email
 
 
 
List 4 Thursdays available between 7-8pm Eastern time and if hosting a function around those dates