Print this form, complete it, and mail it to: National Wolfdog Alliance P.O. Box 2757 Loves Park, IL 61132-2757
Check one or both of the following boxes which describe(s) your feelings (or those of your organization): I / We agree with NWA's position statement. I / We agree current rabies vaccines are already approved for use in all members of the C. lupus species.
Signature: _________________________________________________ [required] * Date: __________________ / ___________ / 2001 * By signing you agree to have your name or that of the organization you represent, listed on our webpage NWA Rabies Issue available at http://www.wolfdogalliance.org/legislation/rabiesissue.html E-mail address: _____________________________________________
If you are an individual, you do not need to disclose your address.
If you represent an organization or corporation and are authorized to speak on behalf of that org/corp, please include contact information: Your Name: __________________________________________________ Business Name: _______________________________________________ Business Address: Street ____________________________________________________ City _______________________ State _________ Zip _____________ Telephone: (____)__________________ Fax: (____)__________________ Business E-mail: _______________________________________________ Website: http://_______________________________________________