Aid Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
Pet Name
*
Pet Age
*
Veterinary Hospital(who will perform the procedure):
*
Veterinarian working with you(in case we have medical questions):
*
Phone where this Veterinariancan be reached:
Please enter a valid phone number.
Please describe the needs of your pet:
*
Attach a prepared estimate from the veterinary facility that will perform the needed procedure(s).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Apply for CareCredit at https://www.carecredit.com/apply/ and attach the approval or denial letter.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If you were approved for CareCredit in an amount that would cover theanticipated costs, please explain your situation and why support from Angel Fundof Maine would be helpful for you and your pet:
Submit
Should be Empty: