CAT NIP & TUCK SPAY/NEUTER REGISTRATION

Thank you for helping us end feline overpopulation by spaying or neutering
your cat!  Please print out this form, fill it in, and mail it to:

   CAT NIP & TUCK
   P.O. Box 9841
   Scottsdale, AZ 85252

Program details can be found at: www.CatNipAndTuck.org

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PLEASE PRINT

Your Name:        ____________________________________________________________

Mailing Address:   ______________________________________   Apt #  ___________

City/State/Zip:   ____________________________________________________________

Home Phone:       (       ) _________________________

Alternate Phone:  (       ) _________________________

Email Address:    ___________________________________

Cat #1 Name:   ______________________________________

        Age:   ____________   Sex: M / F   Pregnant: Y / N   In heat: Y / N

Cat #2 Name:   ______________________________________

        Age:   ____________   Sex: M / F   Pregnant: Y / N   In heat: Y / N

Indicate your FIRST and SECOND choice of clinics by writing a "1" and "2" next
to those choices.  Your first choice may not be available due to scheduling.

______N PHOENIX: Spay/Neuter Clinic       ______N PHOENIX: Animal Rescue Center

______W PHOENIX: Van Aken Pet Hospital    ______MESA: Spay/Neuter Clinic

______W PHOENIX: Spay/Neuter Clinic


Days of the week you CANNOT take the cat(s) to the vet:  __________________

Amount enclosed, check / money order (females $30, males $18) :  $____________

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