Thank you for your interest in learning more about becoming a Rescue Bank Distribution Affiliate. After reading the Affiliate guidelines and qualifications needed, this form is only to be used for more information on becoming a Distribution Affiliate. If you have general questions not related to becoming an Affiliate, please email us at info@rescuebank.org.
Please provide the following information and a representative will contact you as soon as possible.
Full Name
*
First Name
Last Name
E-mail
*
Position in Organization
Street Address (not a PO Box)
*
City:
*
State:
*
Zip
*
Phone Number
*
-
Area Code
Phone Number
Organization Name
*
Non Profit Tax ID#
*
Website (if applicable):
Geographic area served
*
Type of Organization - You will also be asked to fill out the specific application that is checked:
*
Rescue
Shelter
Sanctuary
Pet Food Bank
Feral Cat
Other*
*If Other, please describe:
Do you or your organization have previous pet food distribution experience?
*
Yes
No
If yes, please describe.
Do you have warehouse space that is semi truck accessible?
*
Yes
No
Maximum Pet Food Storage Capability - Must be at least 40 pallets or 40,000 pounds
*
Additional information or questions you may have
Submit Form
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