S/N
PBRC Spay/Neuter Funding Application.
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    Please use two digits for month and day - 01-02-03-04-05-06.
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  • Log into Facebook, then click on your name in the upper right part of the screen. Copy the Facebook Profile URL in the address bar of your browser
  • Veterinary - Hospital - Clinic Information

    Where surgery will take place.
  • ***Please include
    Veterinarians Name
    Clinic Name
    Street Address
    City State Zipcode
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  • Contact a local low cost vet clinic in your area, request an estimate, scan or photograph and upload here.
  • In order to receive funding we must receive a clear, good quality close-up photo of the dogs's face and body. This upload allows for multiple photos.

  • Upload allows for multiple photos, if request is for Mom and pups or for more than one dog.
  • You will receive an automated email once this form is submitted. You MUST respond to the automated email within 24 hours or PBRC will withdraw your application.

    If you do not see an immediate email, please be sure to check your spam or junk folders.