METAIRIE HUMANE ADOPT - A - SUITE PROGRAM 

                  2019  APPLICATION  FORM 

                             Give the Gift of a Safe Haven To a Needy Dog

 

Name:        _________________________________________________________________________________________

Address:      ________________________________________________________________________________________

Apt or Suite:      _____________________________________________________________________________________

City, State & Zip:    ___________________________________________________________________________________


Phone Number:     ___________________________________________________________________________________

Email:       __________________________________________________________________________________________

Date:    _____________________________________________________________________________________________

Is this a business, or personal sponsorship? ________________________________________________________________


LSU colors:___________________   Saints colors:___________________  (Y=Yes, or N=No)


Wording for plaque:

____________________________________________________________________________________________________________________________


____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Will a picture be submitted?  _________(Y=Yes, or N=No).  If yes, how will it be submitted:  ____________________________
 

**Please initial if Metairie Humane Rescue Shelter can announce and list your sponsorship on our Website and Facebook Page in recognition of your kindness_______________   (Initial=Yes, or write in "NO", if you wish to remain anonymous)

 

If adopting more than one suite, please fill out a separate form for each suite.

Submit form and check payable to Metairie Humane Shelter to:

Metairie Humane Shelter

6312 Airline Drive

Metairie, LA  70003

 

Metairie, LA  70003MHRS Adopt-A-Suite App rev 082819.docx