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
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 and Zip
Home
Address: ___________________________________________________
Street or P. O. Box, City and Zip
Phone Numbers: _________________________________________________
Name of Pet: ______________ ______________ Age of Pet: __________
Breed of Dog/Cat: _______________________ Approx. 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,
______________________________________, cannot afford to have my pet
spayed or neutered without the financial assistance of Friends of Pets.
I understand
that information given above may be shared with grant donors that make
funds
available for this assistance program.
______________________________________________
Signature and Date
IMPORTANT:
RETURN
THIS COMPLETED FORM ALONG WITH A SELF-
ADDRESSED
STAMPED ENVELOPE TO: FRIENDS OF PETS, P.O. BOX
240981, ANCHORAGE, AK
99524. BE
SURE TO INCLUDE THE SASE!
**
A separate form is required for each pet seeking assistance.
Only 5 requests
per household per year, please. We recommend having your coupon in hand before
making a surgery appointment or allowing a minimum of 2 weeks between
request
and surgery.