First & Last Name:
E-mail:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:


What is total monthly household income?
Are your pets vaccinated for rabies?
Are your pets all spayed and neutered?
Where do your pets live? Indoor / outdoor
How many pets are in your household?
Please list all pets - their name, type of pet, breed, age, and aprox weight. Additional comments?
How did you hear about Pet Chow Pantry?
By clicking SUBMIT, you agree that you will abide by all the guidelines listed. You also certify that all information given is true, and giving false information will result in the disapproval of this application and disqualification of future applications.


Drop Off Location 1

The preferred donation drop off location is at the Orange County Veterinary Hospital.

1761 Route 17M,
Goshen, NY 10924, 845.294.5044.
Click here for directions.

Drop Off Location 2

If you can not get there, then you may also drop off donations at
Pets Alive between 10-4.

363 Derby Road,
Middletown, NY, 10940, 845.386.9738
Click here for directions.

Pick Up Location

Pick up of food is last Sunday of every month between 11-3.

43 St. John Street,
Goshen, NY, 10924-1518
Click here for directions.