Grant Application Name of Rescue Organization*Address*Phone*Is your Organization a 501-3 Organization?*YesNoAre you incorporated as a non-profit organization in your state?*YesNoTax ID #*Dog Name?*Dog Age?*Date Rescued*Vet Name*Vet Phone*Please describe medical needs of dog for which you are applying*Amount Requested*Contact Person*Contact Person's Email Address* In order for your grant application to be processed, you must also provide the following items: A photo of the dog for whom you are requesting the grant. An estimate or paid invoice from your veterinarian. Grant applications cannot be processed until we have the completed, signed application and the two items noted above. We will be in touch to complete the application and obtain the necessary photos, signed grant application and vet estimate or bill. This iframe contains the logic required to handle AJAX powered Gravity Forms.