SPAY NEUTER COUPON -- PLEASE PRINT OR TYPE --
SPAY NEUTER ASSISTANCE PROGRAM, INC.
P.O. BOX 126702
HARRISBURG, PA 17112-6702
(717)732-LESS (5377) www.snapofpa.org
Serving South Central Pennsylvania
SECTION 1 OWNER & ANIMAL INFORMATION ** ONLY ONE ANIMAL PER FORM **
Owner's Name
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Pet's Name |
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Cat Male |
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Dog Male |
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Pet's Age |
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Female |
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Female |
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I (we) hereby agree(s) to at all times release and hold harmless Spay Neuter Assistance Program, Inc., its oficers, directors, members, agents and assigns from and against any and all claims, liabilities, losses,
damages, charges, fees and expenses of every nature and character which I (we) may sustain or incur by reason or on account of the spaying or neutering of my (our) animal(s) described above. I (we) understand that the Spay Neuter Assistance Program's only involvement and purpose is to provide funds (with or without contributions from animal owners) for the spaying and neutering of domestic animals. Accordingly, I (we) hereby issue this release from liability. I (we) further agree to execute whatever documents are required by the Doctor(s) of Veterinary Medicine who are to perform the spaying and neutering on my (our) pet.
DateSignature
(Must be at least 18 years of age)
Instructions:
1. Complete Section 1 including signature and date.
2.Select a veterinary practice from the list on back and call THEM to schedule your appointment.
3.Specify that you are using a Spay Neuter Assistance Program Coupon.
4.This coupon as well as all certiicates for required vaccinations must be presented at the time your pet is admitted to the veterinary practice for surgery.
5. The entire cost for surgery is due at the time of service.
The Veterinary Practices listed on the back of this form participate in SNAP's low-cost
program and honor the SURGERY rates shown below.
ADDITIONAL CHARGES MAY BE IMPOSED AT THE DISCRETION OF EACH PRACTICE
y also schedu |
and are your inancial responsibility. |
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y also schedu |
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y also scheduMale Cats - |
$25 (Surgery Fee Only) |
y also scheduMale Dogs - (0-80 lbs) - $55 |
(Surgery Fee Only) |
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Female Cats - |
$40 (Surgery Fee Only) |
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Female Dogs - (0-80 lbs) - $65 |
(Surgery Fee Only) |
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80 lbs. - Fee varies by veterinary practice |
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LOW COST SPAY NEUTER PROGRAM PARTNER
Humane Society of Harrisburg Area
The participating veterinary practices listed below establish their own guidelines for acceptance of SNAP
Spay Neuter Coupons & Grants. A preliminary ofice visit, proof of current vaccinations, blood work, overnight stay, and/or additional vaccinations/shots, may be required. Fees for surgical complications, females in heat or pregnant, or males with undescended testicles may also be applied. These and any other
costs will be charged at the Veterinarians’ discretion, at their rates, and are in addition to the surgery price indicated on this form. Any and all of these ancillary charges are your inancial responsibility.
It is recommended that you obtain an estimate of costs and understand all conditions, prices, and requirements prior to selecting a practice and scheduling your pet for surgery.
In some cases, a deposit is mandatory to secure your appointment.
Age restrictions vary by practice.
When calling to schedule your pet for surgery, identify yourself as a SNAP Client. Failure to do so will result in standard ofice rates being charged.
CUMBERLAND COUNTY |
DAUPHIN COUNTY |
Newville Animal Hospital |
Colonial Park Animal Clinic |
Newville 776-6311 |
Harrisburg 540-7140 |
(Cats Only) |
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Noah's Ark Veterinary Center |
Holly Pike Animal Hospital |
Harrisburg 652-5923 |
Carlisle 240-0700 |
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(Cats Only) |
LEBANON COUNTY |
Gettysburg Road Animal Hospital |
Palmyra Animal Clinic |
Mechanicsburg 697-7373 |
Palmyra 838-5451 |
Silver Springs Animal Clinic |
Pet's Day Surgery |
Mechanicsburg 766-5980 |
Lebanon 675-2080 |
Boiling Springs Animal Hospital |
East Lebanon Animal Clinic |
Boiling Springs 258-4575 |
Lebanon 272-2453 |
The low cost for Spaying / Neutering your pet is made possible thanks to the donation of time and supply costs by our participating veterinarians.
Please show your appreciation for the important community service they provide
by keeping your appointment.
THIS COUPON HAS NO MONETARY VALUE.
It will only guarantee the reduced cost spay neuter surgery prices as shown
at the participating veterinarians listed above.