Sundance Ranch Feline Sanctuary Fix-a-Friend Application
Fill out the following form completely.
All information will be kept confidential.
Incomplete applications will not be processed.
All applicants must be 21 years or older.
Sorry, feral (wild) cats/kittens are not eligible for the program at this time.
Today's Date ___________________
Your Name _________________________________________________
Your Address _______________________________________________
__________________________________________________________
NO PO Boxes
County: ___________________________________________________
Must be permanent resident of Curry or Roosevelt counties in New Mexico - Proof of residency required.
Home Phone ( ) _____________________________________________
Work Phone ( ) ______________________________________________
Are you over age 21? _____Yes _____No (All applicants must be at least 21 years of age)
Annual Household Income $_______________________________
Must be less than $30,000 annually - Proof of income required.
Total number of cats/kittens at residence ________________________
Number of female cats/kittens to be spayed ______________________
Number of male cats/kittens to be neutered ______________________
Do you currently receive any state or federal financial aid?
____ Yes ____ No
The cost of the program to Curry and Roosevelt county residents is from $30.00 - $65.00 (50-80% savings) per animal depending on a) male or female cats and b) household income.
Proof of residency and household income required prior to approval.
Dated: _________________________
APPLICANT
________________________________
Sign Name
________________________________
Print Name
Mail to:
Fix-a-Friend Program
Sundance Ranch Feline Sanctuary
P.O. Box 5395
Clovis, NM 88102
|