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Volunteer
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

©2008 Sundance Ranch Sanctuary, Inc.