Spay/Neuter & Wellness Vouchers

Full Name *

Email address *

Phone Number *

Mailing Address *

City *

Zip *

Montgomery County N.C. Resident? *

Yes
No

Type of voucher needed? *

Male Dog
Female Dog
Male Cat
Female Cat
Unknown Cat

Number of dogs that need vouchers? *

Number of cats that need vouchers? *

If cat, please select one of the following regarding the cat's temperament *

Feral (cannot be handled and needs to be trapped)
Can be handled

Provide a name and description for EACH animal - include colors/markings, age, sex (if known) *

Please select all services needed *

Spay/ Neuter
FVRCP Vaccine (Feline Distemper)
Rabies Vaccine
DAPP Vaccine (Canine Distemper)
Deworming

A $50 deposit is required by Sandhills Spay and Neuter Clinic at the time of scheduling and will be refunded when appointment is completed. *

I agree

Age 55+ (information for grant purposes only, not eligibility) *

Yes
No

Leave this field empty