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Application for SPAY/NEUTER Assistance
In Memory Of . .
Participating vets/clinics for vouchers
kroger community rewards
Education & Resources
P.O. Box 1135 Pikeville, TN 37367
Phone 423
-
447
-
PAWS (7297)
APPLICATION FOR SPAY/NEUTER ASSISTANCE
BLEDSOE COUNTY RESIDENTS ONLY
PLEASE read before submitting application
.
1. IF you do not list the COUNTY you live in then your application WILL BE REJECTED. You
MUST LIVE IN BLEDSOE COUNTY
to be issued a voucher.
2. Only submit an application if you are ready to commit to making an appointment.
3. The amount
you will pay
varies
by the facility, sex, weight of your dog and if we have grants available.
4.
Your voucher will be emailed to you. Check your email 2-3 days after submitting your application.
Also check your spam folder. If you do not receive a voucher - please notify us if you have not received it.
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Put COUNTY (NOT STATE) you live in. Otherwise your application WILL BE REJECTED. (County means Bledsoe, Sequatchie, Van Buren etc)
*
Phone Number
*
Facility you would like to use?
*
SELECT ONE
Sequatchie Valley Low Cost - Dunlap
South Rhea - Dayton (south of Walmart)
Dixie Day Spay - Cleveland
McMinn Spay/Neuter - Athens
Is this 1) personal pet or 2) stray/rescue? choose one
*
Email that you want your voucher sent to. So please check your spam also
*
Your Occupation / SSI /disability / food bank / food stamps
*
1) Name of pet
*
Dog/Cat
*
Blank
Dog
Cat
M/F
*
Blank
Male
Female
Weight required for dog
*
Age
*
Breed
*
Color
*
Name of pet
*
Dog/Cat
*
Blank
Dog
Cat
M/F
*
Blank
Male
Female
Weight
*
Age
*
Breed
*
Color
*
Name of pet
*
Dog/Cat
*
Blank
Dog
Cat
M/F
*
Blank
Male
Female
Weight
*
Age
*
Breed
*
Color
*
Submit