Adoption Stimulus Package Request

This form will allow you to request a full humane donation package be sent to your humane facility. Please only order this package if you are a director, sponsor or employee of a non profit humane organization that works for the welfare of dogs and/or cats. For other facilities, please call 800-APA-PETS ext. 104 for information.

Please provide the following contact information:

Name
Title
Organization
Street address Facility's physical address
Address (cont.)
City
State
Zip code
Facilities Phone
FAX
E-mail
How many adoptions per month?
How long in existence?
Info Requested   
 Comments or questions

Copyright 1996 - 2008 American Pet Association.
Last revised: September 16, 2010