Reading & District Cats Protection

Personal Details:

First Name*:

Surname*:

Address*:

E-mail*:

Telephone Number*:

Which State Benefit do you receive?

Are you able to use one of our designated vets (for free neutering)?

	Yes
	No

If yes, please indicate which one:

	Castle (Tilehurst Road)
	Tilehurst (School Road)
	Oakley (Oakley Road)

If no, please state which vet in the Reading area you would like to use. We will provide a voucher in part-payment, you will need to pay the balance.

If using Castle, Tilehurst or Oakley vets, would you like free microchipping for your cat at the time of the neutering operation?

Yes
No

How many cats to be neutered?

Please indicate the number of males and females.

Males

Females

Cat’s name(s) and age(s).

Do any of the cats have health problems? If so, please give brief details.

If female, has she had kittens? If yes, how long ago?

If you do not have homes for all the kittens we may be able to help you. Let us know via this box and we will contact you separate to the neutering.

You will receive confirmation in the mail within about one week; please make the vet appointment once you have received the copy of the voucher. The original will be sent to your designated vet in advance of your appointment.

Fields marked with an asterisk(*) are mandatory.