Click appropriate pdf icon to download & print:

This form was developed by local animal welfare groups for your use at your home or on your farm. Please feel free to print it on brightly colored paper, laminate if possible, and place/post it where it would be immediately observable to emergency responders should such a situation arise.

Areas of Operation:

Polk and surrounding counties of NC - including the upstate of SC.

email us at:


Tel 828-863-4924

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When mailing a donation check, please make your check out to


and mail to:


Columbus, NC. 28722.

Or, DONATE electronically HERE.