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SPEUTER VOUCHER PROGRAM APPLICATION

In an effort to combat the problem of pet overpopulation and to promote healthy pet-care, B.A.A.C. has partnered with a few area veterinary hospitals and clinics in Connecticut to provide spay and neuter services. The Clinic will provide spay or neuter services and B.A.A.C. will cover the balance depending on the needs of the program participant.

 

SPEUTER is intended to assist low-income pet owners, senior citizens or independent rescuers afford the cost of spaying or neutering their dog or cat. Our SPEUTER program is made possible through generous donations, grants, and the generous time and resources by participating veterinarians who believe in the importance of spaying and neutering as part of a complete pet healthcare program. This program will last as long as the funds are being provided that enable us to make available this very important and valuable service.

 

In order to apply for assistance, simply fill out this form completely and mail to above address, you will be notified about your eligibility for SPEUTER after your application is received.

 

You may only apply for your own dog and/or cat. If you have more than one pet that needs to be spayed or neutered, please include that information about the other pets that need assistance.

IMPORTANT

Please fill in all fields. If a field does not apply to you, please type in "N/A" or "0".  Applications take 2 weeks to process. Incomplete applications may be denied.

SECTION I: All Fields in this section are required

Would you like to receive periodic updates from Bikers Against Animal Cruelty Inc.

SECTION II: Employment. Proof of employment may be requested.

SECTION III: Employment. Proof of income may be requested.

SECTION IV: please include all details regarding your pet that you are applying for SPEUTER services for.

Species
Gender
Do you bring your pet for regular veterinary check ups?
If this pet is a female, has she ever had a litter:

Please list the following information for any other pets that needs spay and four neuter assistance.

(Include NAME / SPECIES / GENDER / COLOR / WEIGHT / AGE / HOW ACQUIRED / HOW LONG YOU'VE HAD THE PET/ NUMBER OF LITTERS IF APPLICABLE): species gender color weight age how acquired how long you've had the pad number of letters if applicable

By signing this form, I CERTIFY that the personal details provided on this form are true and correct.

Thank you for helping us make a difference!

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