National Wolfdog Alliance, Inc.

Print this form, complete it, and mail it to:
National Wolfdog Alliance
P.O. Box 2757
Loves Park, IL 61132-2757

Please join the growing listing of individuals, organizations/corporations and professionals which rejects USDA's attempt to withdraw rabies vaccine approval for usage in all subspecies of Canis lupus.

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://_______________________________________________


N a t i o n a l   W o l f d o g   A l l i a n c e,   I n c.
http://www.wolfdogalliance.org/     -     legislation@wolfdogalliance.org