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HELP !!!!

January 17.2010
If you love animals, please help your local rescue group. Every dollar goes to companion animals in the Middle Georgia area. The growing economic hardships people are facing now are causing more to turn their own best friends over to be killed. Contributions from corporations and individuals are down and when that happens it directly impacts the numbers of helpless, loving, innocent creatures we can save. Any amount you can donate is put to immediate critical use in spay/neuter programs, medical care, food and care of the wonderful Animals.

Make the Difference:

Our organization has no paid staff. Every dollar goes directly to the improve living conditions of victims of abuse, neglect and fate. Click Here to help us help the ones you love. Your contributions make the difference in thousands of lives.

Links to Sponsors:

- Petsmart
- Harts Petuary
- Kuranda Dog Beds

(January 17, 2010)

Adoption Application

Pet Name That You Are Interested In: _____________________________

Your Name:__________________________________________________
Your Address:________________________________________________
Your City, State and Zip:________________________________________
Your Home Phone # (with area code):_____________________________
Your Employer:_______________________________________________
Your Work Phone # (with area code):_____________________________
Your Email Address:___________________________________________

Description of Living Situation (circle one):
House Condo Apartment Mobile Home
Additional description of home:__________________________________

Do you Rent or Own:____________________
If you rent, what is your landlord's name:__________________________
Landlord's Phone Number:______________________________________

Is your yard fenced in (circle one):
Completely Fenced Partially Fenced Not Fenced
If fenced or partially fenced, please indicate type and height of fence:
___________________________________________________________
Number of adults in household:__________________________________
Do all adults in household know you wish to adopt:__________________
Age(s) of children in household:__________________________________

Do you have other pets:_______________________________________
If yes, please provide name, breed, age and gender of all animals in the
household:
___________________________________________________________
___________________________________________________________
___________________________________________________________

Who is your veterinarian (name, address, and phone number):
____________________________________________________
Are pets current on vaccinations:__________________________
Comments:______________________________________________
_______________________________________________________
________________________________

Are pets spayed/neutered:____________________________________
_________________________________________________________
Comments:________________________________________________
Are pets on heartworm preventative and if so, what type:___________