APPLICATION

Applicants to Harley's Hope Foundation must complete the following application and provide proof of financial need. In addition, applicants will be asked to consider all financial resources - credit cards, Care Credit, friends, family members, and liquidation of assets - before requesting funding from Harley's Hope Foundation . Please fax completed application and required attachments to (719) 495-3334 or email to info@harleys-hopefoundation.org.

 

MS Word

PDF

Please type your answers if possible

 

In case of a life or death veterinary emergency, call (719) 362-6335

 

PLEASE NOTE YOU MUST CONTACT HARLEY'S HOPE FOUNDATION
PRIOR TO VETERINARY SERVICES BEING ADMINISTERED.
WE WILL NOT REIMBURSE EXPENSES ALREADY PAID OUT.

 

© Harley's Hope Foundation, 2011 - by Criterion Web Design

May 8, 2012