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Client Contact Information for in home euthanasia scheduling.
(after you complete form, to set an appointment time, text 405-726-0755)
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* Indicates required question
Your Pet's First Name
*
Your answer
Is your pet canine, feline, or other?
*
Canine
Feline
Other:
Required
What breed is your pet
Your answer
Your pets Sex
*
Male
Female
What is your pets approximate weight in pounds? (a guess is fine)
*
Your answer
Your First Name
*
Your answer
Your Last Name
*
Your answer
Your Email
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
How did you find out about us?
Your answer
Who is your regular Veterinarian?
*
Your answer
Would you like Paws at Peace to update your regular veterinarian?
No
Yes
Would you feel comfortable sharing pictures of your pet or a memory on our Google page?
yes
No
maybe sometime, but not right now.
Do you have a religious preference?
Your answer
(if your pet weighs less than 110 lbs) Would you like Paws at peace to take care of transport and all cremation details with Friends Remembered?
*
Yes, private cremation.
Yes, communal cremation.
No
Required
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