ALL REQUIRED FIELDS MUST BE COMPLETED BEFORE THE APPLICATION CAN BE SUBMITTED
If needed, click here for PDF version of the application, which can be mailed or emailed to firstname.lastname@example.org
Complete all information to be considered for a discounted Spay/Neuter for your pet. By completing the application, you acknowledge that you will be responsible for paying a portion of the cost for veterinary services & do not hold the Sullivan County Humane Society, Inc. responsible for any liability. Only completed legible applications will be considered. Only residents or employees of businesses in Sullivan County, TN are eligible. Email email@example.com if you have any questions. Approved SNIP recipients will be processed within 15 days of application receipt, please allow time for mailing. PLEASE PRINT.
NOTE: THIS IS NOT A SPAY/NEUTER CERTIFICATE and cannot be redeemed at the veterinary clinic for surgery. This application must be submitted and approved before a Spay/Neuter Certificate will be issued.
VET CLINIC FEES: Dog Spay or Neuter $25 Cat Spay or Neuter $15