MAGSR Adopter Information Update

Thanks for adopting from MAGSR!

And thank you for keeping your contact information up to date.  Please take a moment to fill out your new contact info below:

Please fill out your complete previous address; Street, City, State & ZIP
Please fill out your complete current address; Street, City, State & ZIP

Current Phone Numbers (no spaces or hashes):

Please make sure you have white-listed "@MAGSR.org" addresses, so you can recieve amail from us.
Please enter your dog's old name
Please enter your dog's new name (or "same" if you kept their name)
NOTE: if your dog has lost its tag, we can replace it. Please note this problem in the notes field below and we will contact you.
Is there anything else you'd like to tell us?
Refresh Type the characters you see in this picture. Type the characters you see in the picture; if you can't read them, submit the form and a new image will be generated. Not case sensitive.  Switch to audio verification.