I need help with the cost of getting my cat / dog fixed.
Please note that information provided to FFL is strictly confidential and will not be shared with other parties.
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Denotes required field.
First Name :
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Last Name :
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Other Last Names in your household :
Home Phone Number :
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Cell Phone Number :
Email :
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Street Address :
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Province :
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
City :
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Postal Code :
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Have you had pets fixed previously through FFL? :
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Yes
No
Source of Income :
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Place of Employment :
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Total Income per Year :
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Is this the only income in your household? :
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Yes
No
If no, what is your combined family income? :
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What is it you need help with? :
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Will the pet be indoors or outdoors? :
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Indoors
Outdoors
Is your pet ...? :
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Male
Female
Is your pet ...? :
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Cat
Dog
If dog, what weight? :
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Do you have a veterinarian? :
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Yes
No
If yes, what veterinarian? :
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Has your pet previously had a litter? :
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Yes
No
If yes, how many? :
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If yes, what happened to them? :
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Where did you obtain your pet? :
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Comments: (0/500) :
Please provide proof of income by one of the following methods? :
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By Email
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dgquinsey@gmail.com
By Mail
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PO Box 20091
Belleville Ont.
K8N-5V1