Shelter Program
Static Correction Education
Donation Program
Veterinary Education Program

ACO and Shelter Program Sign-Up Form

Thank you for participating in PetSafe's ACO or Shelter Program.

Please be sure to fill in all appropriate fields. Some entries are required in order for you to participate.

Name of Organization:

(required)
Name of Requestor: (required)

Email Address:

(required)

Phone Number:

(required)

Shipping Address:
(No P.O. Boxes)

(required)

City:

(required)

State/Province:


(required) (Please use no punctuation marks)

Postal Code:

(required)

Country:

(required)
Were you referred by another
agency / shelter / rescue
organization?

Number of Bark Control
Collars you are requesting
(limit of 2 collars per
ACO in organization):

Once the request is received, processed and approved,
the requested number of units, a training CD and pouches
will be shipped to the above address (it may come in
two separate shipments).

Statement of Acceptance
By checking this box, Name of Requesting Organization
understands that Radio Systems Corporation, makers of the
PetSafe®, Guardian, and SportDOG™ brands, produces products
to enhance the Human-Animal bond and they, like us, stress
responsible pet ownership. Many of the products
Radio Systems Corporation produces utilize static stimulation
as a training aid. We recognize and agree that static stimulation
can be a useful tool and we recommend the use of static stimulation
for behavior modification in pets. By checking this box, we also
agree to participate in the Animal Control Officer Program
or the Shelter Program as outlined on this site.