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申請浪浪免費血品與免費外科醫療表單
寶血動物醫院暨犬貓聯合捐血中心為了推廣狗貓捐血,並感謝大家的無私奉獻我們將您的愛心化成實際行動免費外科醫療救助浪浪,同時也提供給浪浪免費血品,希望動物都平安健康!!!
如有相關需求請填寫以下表單,以便我們跟您聯絡
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浪浪的身份?
*
動保團體
中途之家
病倒路邊
受虐動物
熱血捐血毛小孩家長指定救助的浪浪
Other:
申請血品或是申請免費外科
*
血品
免費外科
申請人姓名
*
Your answer
申請人連絡電話
*
Your answer
動物名(沒取名請寫其特徵的)
Your answer
品種
*
狗
貓
體重
Your answer
動物病況(請詳加描述)
*
Your answer
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