Please fill out the online form to apply for subsidization.
I, the undersigned, do hereby certify that the information provided by me on this form is true. I am hereby applying for sponsorship from the Animal Cancer Therapy Subsidization Society. I give permission for ACTSS to contact my veterinarian and employer if additional information is necessary. I agree to share a picture and a short story of my pet if my application is successful and understand that the picture and story will be displayed on the ACTSS website or ACTSS publications for promotional purposes. Surnames will not be used. I also understand that I may be contacted with ACTSS related publications.
In order to complete your application please submit the legal release document and applicable receipts via fax (780) 466-4870 or scan and email to firstname.lastname@example.org
Animal Cancer Therapy Subsidization Society (ACTSS)
Box 68224 Bonnie Doon RPO Edmonton, AB
Charitable Registration Number: 88330 0626 RR0001
Our heartfelt appreciation to our 2016/2017 Halloween Extravaganza Lifesaver sponsor: