Louisiana Shelter Registry Form

Louisiana Shelter Registry Form

In order to complete your registration, please provide all requested information.

  • If different from physical address
  • Please provide the name of the operator of the public animal shelter
  • If different from the shelter phone number

All information requested must be submitted on or before the first day of February of each calendar year.

 

You are donating to : Louisiana Animal Welfare Commission

How much would you like to donate?
$10 $20 $30
Would you like to make regular donations? I would like to make donation(s)
How many times would you like this to recur? (including this payment) *
Name *
Last Name *
Email *
Phone
Address
Additional Note
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