Info Center
(907) 562-2535
Adoption Hotline
(907) 561-3677
MEDICAL
EMERGENCIES
Diamond
Animal
Hospital &
Emergency Services
(Anchorage)
(907) 562-8384
24 Hours
Pet
Emergency
(Anchorage)
(907) 274-5636
24 Hours
(website)
National
Animal Poison Control Center
This site rated
'for all ages' by
FRIENDS OF PETS
SPAY/NEUTER
ASSISTANCE REQUEST FORM
SPECIAL OFFER - DOGS ONLY
Assistance
is available only to residents of the Municipality of Anchorage
including Girdwood, Eagle River,
and Chugiak
PRINT
THIS PAGE, THEN COMPLETE THE FOLLOWING INFORMATION
(PLEASE PRINT).
ALL BLANKS MUST BE FILLED IN OR YOUR REQUEST
CANNOT BE CONSIDERED.
Name
of Pet Owner: _______________________________________________
Mailing
Address: __________________________________________________
Street or P.O. Box
City Zip Code
Home
Address: ___________________________________________________
Street
City
Zip Code
Phone
Numbers: _________________________________________________
Name
of Pet: __________________________________
Age of Pet: ____________
Breed
of Dog/Cat: _______________________ Approximate
Weight: ___________
Where
did you get your pet? (Please be specific listing the name of the breeder,
rescue group, animal control, or other).
In
order for Friends of Pets to assist people who cannot financially afford to have
their pets altered, we ask that you sign and date the declaration below:
I,
______________________________________, can contribute $___________toward
the
cost, to have my pet spayed or neutered and will need the financial assistance
of
Friends of Pets for the rest. I
understand that information given above may be shared
with grant donors that
make funds available for this assistance program. Please list your
preference of
vet clinic, if any:
______________________________________________________________________
If
you do not have a preference, FOP would recommend using the S.P.C.A.
Signature
Date
IMPORTANT:
RETURN THIS COMPLETED FORM ALONG WITH A
SELF-ADDRESSED STAMPED ENVELOPE TO: FRIENDS OF PETS,
P. O.
INCLUDE THE SASE!
your coupon in hand before making a surgery appointment or allow a
minimum of 2 weeks
between request and surgery.