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ACL Pets & People Support Program
Request Form
Please fill out the following form to request a pet supply care package. Please note that one request may be submitted per month. Supply availability varies depending on donations. Please give us 24-48 hours to respond to your request. Supplies are typically distributed within two weeks of the request. If you have any questions or need help filling out the form please email
support@animalcareleague.org
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First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
If you do not have an email address please indicate below:
Your answer
Street Address
*
Your answer
Zipcode
*
Your answer
City/Village
*
Your answer
Have you received a Pet Care/Supply package from us before?
*
Yes
No, this would be my first package
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