KHS

Pet Calendar Contest Entry Form

Contact Information




First Name

Please let us know your name.

Last Name

Please let us know your last name.

Address

Please enter your address.

Apt. / Suite #

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City

Please enter your city.

State

Please select a state.

Zip Code:

Please enter your zip code.

Phone (Home)

Please enter your primary phone number.

Phone (Work)

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Your Email

Please let us know your email address.

How did you hear about this contest?

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If Other Please Specify

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Photo Entry

For digital photos, we require well-focused, sharp images that are at least 300 dpi (dots per inch) and in JPEG(JPG) or TIFF format.




How many photos would you like to enter? ( $25 / each )

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Photo1

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Fun facts about this photo

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Photo 2

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Fun facts about this photo

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Photo 3

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Fun facts about this photo

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Photo 4

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Fun facts about this photo

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Photographed Pet(s)




Name of Pet(s)

Please enter your pet's name.

Breed of Pet(s)

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Age of Pet(s)

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Fun facts about your pet (i.e., how you got your pet, your pet's personality, favorite things to do, etc.)

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Total Due
0.00 USD


I have read over the guidelines and rules for the Kentucky Humane Society's pet calendar contest and adhere to their terms.

You must enter your initials to proceed.

Card Number

Please enter a valid credit card number

Card Expiration Month

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Credit Expiration Year

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Card Security Code (CSC)

Please enter a valid CSC



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