2. McPherson Animal Shelter
   1115 W Woodside Street
   McPherson, KS 67460
   Phone: 620-245-2583
6. Please provide your name, address, and contact numbers if you wish, or you may choose to remain anonymous. Please retain a copy of this form for your records. Feel free to submit this form online, or you may drop off a printed copy to the McPherson Animal Shelter.
8. Name
9. Phone Number
11. Address
13. City
14. State
15. Zip Code
19. In order to begin the process of identifying the member(s) of the McPherson Animal Shelter to whom you are referring, please provide the employee's name. The information that you provide below will assist the Shelter in addressing your compliment or complaint.
21. Staff Member Name(s)
23. Please provide a brief description of the event that occurred.
27. Internal Use Only
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