Working Cat® Questionnaire

First Name

Last Name

Email

Yes, I would like to receive e-mail from Lollypop Farm

Street 1

Street 2

City

State

Zip

Phone Number

Type of facility you have for the cats:

If other, please describe:

Do you have any outdoor cats now?

Yes

No

Please indicate the number of cats currently on your property:

How many cats are you interested in adopting?

What will you feed the cats? (Check all that apply)

Dry cat food

Canned cat food

No food provided

Anything else you'd like us to know / What type of working cat® are you looking to adopt?

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