Pit Stop Form Manistee

SAVE A BUDDY FUND “Pit Stop Program” Spay-Neuter Application for
MANISTEE COUNTY RESIDENTS
The “Pit Stop Program” is for pits and pit mixes, males and females!

Please fill out this application in full. Once we receive it we will mail you a spay-neuter voucher valued at $100.00 (provided we have funds available). The voucher is to be used to offset some of the cost of your dog’s spay-neuter surgery. Bring your voucher with you to your dog’s spay-neuter appointment. The voucher will be accepted as cash by your veterinarian. Any additional cost above the value of the $100.00 voucher for spaying-neutering your pet is your responsibility. You must receive your voucher from us BEFORE you take your pet in for surgery! There are no income restrictions to participate in this program and you may combine our voucher with any financial assistance you receive from other spay-neuter organizations. Please allow up to
10 days to receive your voucher (schedule your appointment accordingly).

The following veterinarians in the Manistee County area currently accept our vouchers:

Betsie River Veterinary Clinic (Benzonia): 231-882-5561
Country Veterinary Clinic (Ludington): 231-843-3213
Irons Animal Hospital (Irons): 231-862-3113
Manistee Veterinary Hospital (Manistee): 231-723-9000
Meyer Veterinary Clinic (Cadillac): 231-775-4104
Parkdale Animal Hospital (Manistee): 231-723-8998
Platte Lake Veterinary Clinic (Honor): 231-325-2528

* Indicates required field

Your Name *

First

Last

Mailing Address *

City *

State *

ZIP *

What county do you live in? *

Phone Number *

Email *

Dog's Name *

Color *

Breed *

Age *

Approximate Weight *

Male/Female *

How did you hear about our Program *

Name of Vet or Vet Clinic *

Date of Appointment *

Comment *

I agree to receiving marketing and promotional materials *

Submit

Save A Buddy FundP. O. box 871Manistee, MI 49660

Save A Buddy Fund
P. O. box 871
Manistee, MI 49660