INFORMATION SUBMISSION FORM
POLY SUPPORTERS & CATTERY DETAIL LISTINGS.

 


FORM 1:

Note:  Section 1 is for adding to our poly supporter lists, as a Cattery or as an individual Fancier or Poly Supporter.  You do not have to be a breeder, owner or exhibitor of a polydactyl Maine Coon  to receive the Newsletter "Paws for Effect" or to be added to our Poly Supporter List...just a love for the Maine Coon polydactyl. Once you have completed Section 1, you may skip past Section 2 and go to the "SUBMIT" Button at the bottom of the page.

If you are a Cattery or Breeder that has or will be submitting information to our Litter Tracking program, we collect additional information so that you may receive a FREE Cattery Advertisement (with graphic Banner).  This additional information is requested in Section 2.  You may be on both Poly Supporter List and Cattery Detail Listings if you desire and meet the criteria for Section 2.

SECTION 1

    Do you wish to receive the free monthly Newsletter:  "Paws for Effect"?
    Yes No
    If yes, please enter the email address that you would like to have it sent to:
    (Note:  address will be kept private at PolyTrak.)

    .

    I would like to be added the the PolyTrak Supporters List as a:  (REQUIRED)
    MC Poly Breeder MC Breeder Fancier Do not add to Support List.
    .
    How can PolyTrak contact you if there is a question?  (Note:  address will be kept private at PolyTrak.)
    E-Mail Address: 

    .
    If you would like your website URL (Cattery or Personal) listed, please enter it here:  (OPTIONAL) 

    ..
    Private comments, questions or instructions to PolyTrak.  This will not be published on the Web!



SECTION 2
Please complete remaining boxes if you will be submitting cat or kitten information to our database.
 This information is for your Cattery Advertisement page.

  1. Is this a new entry for the Cattery portion of the database?  (Change Answer to NO if following information is a change to your existing data.)

  2. Cattery/Breeder Name (REQUIRED)

  3. Cattery Website URL (address) (OPTIONAL) 

  4. Name of person who can be contacted (OPTIONAL)

  5. How can people contact you? (REQUIRED) (e-mail) (Note:  email address will encrypted on our Website to prevent email harvesters and spammers from getting your address.)

  6. Cattery Phone Number (OPTIONAL)

  7. Mailing Address Information (OPTIONAL) 

  8. Additional Mailing Address Space (if Needed) (OPTIONAL) 

  9. City/Town of Your Cattery/Home (REQUIRED)

  10. Province, State or Governmental Sub-Division (OPTIONAL) 

  11. Country (REQUIRED)

  12. Zip, Postal or Mailing Code (OPTIONAL) 

  13. Languages Spoken ((OPTIONAL) (In addition to English) 

  14. You may add a paragraph discussing your Cattery and Breeding Program as it pertains to Maine Coon Polydactyls and your Cattery. (OPTIONAL) 


  15. Private comments or notes to PolyTrak:  This will not released publicly (OPTIONAL)
     

  16. Your return email address for confirmation and should there  be a question on this form. (REQUIRED)

  17. By checking this box, you certify that the above information is true and correct to the best of your belief and knowledge.  

    (Click button only once!)

 


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 Thank You for participating in PolyTrak!

DISCLAIMER

Polytrak or any of its members are not responsible for errors arising from the submission of this information.  Polytrak, or any of it members, assume no liability resulting from display, or release, of this information by third parties and that you will hold harmless, Polytrak and its members from any liability that may arise from use of this information.

Copyright 2008 PolyTrak 
All rights reserved.