| First Name* | |
| Last Name* | |
| Title | |
| Organization | |
| Street Address | |
| Address (cont.) | |
| City | |
| State/Province | |
| Zip/Postal Code* | |
| Country | |
| Day Phone | |
| Alt Phone | |
| FAX | |
| E-mail* | |
| URL |
Please select areas of service you provide:
Animal Care Administrative Medical Support Transportation Search & Rescue Communication Foster Care
What animals need help:
Dogs Cats Birds Small & Furry Horses Barnyard Reptiles Aquatic Other
What is needed
Shelter Feed Medical Support Transportation Administrative Communications Animal Supplies Media and Press Funding Volunteers Foster Care Other
Enter dates when help is needed*
Please detail your immediate and future needs
Your information is reviewed by our Team Member staff and you will be contacted if we are able to help your group or organization.
All TAX-DEDUCTIBLE hurricane related donations are for this Animal Program only.
The Medical Awareness Institute (MAI) is a 501 (c) (3) California Charitable Trust Corporation and does not assume responsibility for the accuracy of any topics we investigate.