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Registration
 
Sign up using your Facebook account to post your activity to Facebook.
 
Or
 
 
Register for our contest by filling out the form below. Registration is required to submit a photo and to vote.
 
General Information
 
* First Name: 
 
* Last Name: 
 
* Birthday: 
   
 
* Public Name: 
 
  Must be 4-10 characters
 
* Email: 
 
  Only one registration is allowed per email address.
 
* Confirm Email: 
 
* Address Line 1: 
 
Address Line 2: 
 
* City: 
 
* State: 
 
* Postal Code: 
 
  
    I agree to receive marketing information from Exceptional Care for Animals.
 
  
    I agree to receive marketing information from Channel3000.com.
 
Password Information
 
Passwords must be 8 to 20 characters.
 
* Password: 
 
* Confirm Password: 
 
Double check to make sure your information is correct and then hit submit below. Thank you for your participation.
 
 
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Exceptional Care for Animals Pet Idol 2013

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