APPLICATION

**OUR POCKETS ARE EMPTY!!!!! FOR THE PRESENT TIME, WE CANNOT ACCEPT ANY MORE APPLICATIONS BUT WE WILL BE WORKING ON WAYS TO GET BACK ON OUR FEET AND BACK TO WORK FIXING ANIMALS. WE APOLOGIZE FOR ANY INCONVENIENCE AND HOPE THAT WE WILL BE ABLE TO START BACK SOON.**

ARE YOU ELIGIBLE?

If you live in Lauderdale, Colbert or Franklin county and receive either Food Stamps or Medicaid, you can apply to have up to 4 animals a year fixed.

If you meet the above requirements – fill out an application below* (MUST fill out an application for EACH animal). You will need to mail in a $20 copay for each animal and proof of eligibility (copy of either a food stamp or Medicaid card) to NASANA, 2701 Mall Drive, PMB 266, Florence, AL 35630 before surgery is scheduled.

In addition, you will be required to get a rabies shot for your animal when you take it in for the surgery if it has not had one within a year and you will be responsible for paying the vet for that vaccination.

*if you prefer to have an application sent to you, email us at nasana2015@yahoo.com or call us at 256-415-5499 and we will get one to you by email or mail.

 

Mailing Address:
2701 Mall Drive, PMB 266
Florence, AL 35630
Email Address: nasana2015@yahoo.com
Phone: (256)415-5499