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Flying B

FLYING B ANIMAL
RESCUE & SANCTUARY

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Adopted Pet Spay/Neuter Reimbursement Form

We will reimburse you up to $100 for post-adoption services including spay/neuter and vaccinations.

When was your appointment?*

Please upload a copy of your detailed receipt showing services performed*

Your Information (please update if anything has changed)

First name*

Last name*

Email

Mobile Phone

Address

City

State

Zip Code

Pet Information

Adopted Pet Name*

If you changed the name of the pet from the Flying B name, please indicate the old name here, so we can update our records.

Current Weight *

Signature

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Flying B Animal Rescue & Sanctuary is a registered 501(c)(3) non-profit organization.

EIN 99-1449646

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