Home  *Certificates cannot be printed from the computer* 

 email: muffinspets@gmail.com
 

Muffin's Low Cost Spay/Neuter Application

APPLICATION (Do Not Bring to Vet)

PRINT NAME ————————————————————————————

ADDRESS ———————————————————————APT————

CITY —————————————————STATE——————ZIP————

PHONE (     )——————————— PAYMENT: Money Order or *check $_____ (*put phone # on check)

Make Checks or Money Orders payable to: 
MUFFIN’S PC
9728-3rd AVE. B125, Brooklyn, NY 11209-7742

Fax order 8am - 8pm   
(718) 921-6327
On a charge or Money Order: If you would like the certificate faxed to the vet, please make the appointment first. Then make a note on this application stating: vets office, date/ time of appointment and pets name.
Thank you.
Jude, Director
                                                PLEASE CHECK ONE:

CAT  Male $38 X — = —        DOG Male  $52 X---- = -----

CAT Female $51 X — = —    DOG Female  $72 X ----= ----

GRAND TOTAL $ —————

Please charge to VISA/MC, Discover or Amex $ ———————————          
RUSH ORDERS:  Call (718) 833-7988 or fax credit card info to 
(718) 921-632

__________-___________-__________- __________ Exp. Date _________

Signature ____________________________________________
Date___________________Pets Name_____________________
Referred by___________________________________________