Ear Crop Deposit
I understand that by scheduling my pet for an ear crop surgery, I am required to pay a $200 deposit. If I need to reschedule the surgery, I must do so 72 hours prior to the original surgery date or I forfeit my $200 deposit.  The $200 deposit is non-refundable if the surgery is cancelled.  

The deposit will be applied to surgery charges if the original surgery date is kept or I have rescheduled 72 hours before the original surgery date.  If surgery has been rescheduled less than 72 hours from the original surgery date the $200 will NOT be credited toward the surgery and I may be required to pay another $200 deposit upon rescheduling.

I understand that this form and the deposit must be received before I can schedule the surgery.

*** Once you have submitted this form, please contact the office (970-352-9164) to schedule your puppy's surgery and submit your deposit***

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I understand that if I cancel the surgery that I will NOT get the deposit back. *
Full Name *
Email *
Address *
City *
State *
Zip Code *
Phone number *
E-Signature that you have read and agree to the above information. *
Breed of dog
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