Equine Assistance Request Form: West Virginia Horse Network
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1.
Please list your first and last name
(Required.)
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2.
What is the horse's name?
(Required.)
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3.
Please list your full physical address
(Required.)
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4.
Please list the phone number where one of our representatives can reach you to discuss the situation in greater detail. You should expect a call from a member of our team within 7 to 10 days.
(Required.)
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5.
Please list an email that you check frequently, where one of our representatives can reach you to discuss the situation further.
(Required.)
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6.
Please tell us in detail what type of problem or situation you are having with your horse that prompted you to reach out for help.
(Required.)
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7.
Please provide some additional details about your horse (age, breed, training, size, etc.)
(Required.)
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8.
How did you find out about the STAI Program? If someone referred you please include their name.
(Required.)
A volunteer will contact you soon to gather more information. That interview along with this survey will help us determine what resources we may be able to provide. Please expect to hear from us in 7 to 10 days. In the meantime we'd appreciate it if you could email us a picture of the horse mentioned above. Our email address is wvhorsenetwork@gmail.com