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Promo Code:
Number of pets: <- Please make sure to select correct amount of pets, not doing so will cause delays with your order due to not being billed correctly!

Pet 1-

Pets Name:

Gender: Spayed, Neutered?: Pet's Weight:

Other Description Details:
Pet's Age:
Emergency Contact: Emergency Phone Number: Emergency Contact Relationship to Owner:
Owner's Name:

Owner's Address:
Street:CityStateZipcode

Phone Number 1: Phone Number 2: Email:

Is this pet chipped?YesNo
Chip Information (If Applicable)
Vital Information (Medications, Allergies, Foods, Behavioral Issues, Ect.):
Photo:
Quantity of Duplicate PetTravelCard™'s (must be ordered at same time as original):
Quantity of Additional Strap Clips (for this pet):

Pet 2-

Pets Name:

Gender: Spayed, Neutered?: Pet's Weight:

Other Description Details:
Pet's Age:
Emergency Contact: Emergency Phone Number: Emergency Contact Relationship to Owner:
Owner's Name:

Owner's Address:
Street:CityStateZipcode

Phone Number 1: Phone Number 2: Email:

Is this pet chipped?YesNo
Chip Information (If Applicable)
Vital Information (Medications, Allergies, Foods, Behavioral Issues, Ect.):
Photo:
Quantity of Duplicate PetTravelCard™'s (must be ordered at same time as original):
Quantity of Additional Strap Clips (for this pet):

Pet 3-

Pets Name:

Gender: Spayed, Neutered?: Pet's Weight:

Other Description Details:
Pet's Age:
Emergency Contact: Emergency Phone Number: Emergency Contact Relationship to Owner:
Owner's Name:

Owner's Address:
Street:CityStateZipcode

Phone Number 1: Phone Number 2: Email:

Is this pet chipped?YesNo
Chip Information (If Applicable)
Vital Information (Medications, Allergies, Foods, Behavioral Issues, Ect.):
Photo:
Quantity of Duplicate PetTravelCard™'s (must be ordered at same time as original):
Quantity of Additional Strap Clips (for this pet):

Pet 4-

Pets Name:

Gender: Spayed, Neutered?: Pet's Weight:

Other Description Details:
Pet's Age:
Emergency Contact: Emergency Phone Number: Emergency Contact Relationship to Owner:
Owner's Name:

Owner's Address:
Street:CityStateZipcode

Phone Number 1: Phone Number 2: Email:

Is this pet chipped?YesNo
Chip Information (If Applicable)
Vital Information (Medications, Allergies, Foods, Behavioral Issues, Ect.):
Photo:
Quantity of Duplicate PetTravelCard™'s (must be ordered at same time as original):
Quantity of Additional Strap Clips (for this pet):

Shipping Information

Full Name to Ship To:
Street:
City: State: Zip Code: Country:
Quantity
  Descripton Price Total
 PetTravelCard™ (includes One (1) Strap Clip)
ea.
10.95
 Duplicate Cards (Must be ordered at the same time of original order to receive discount)
ea.
4.95
 Additional Strap Clips
ea.
1.25


Name on Card: (First) (Last)
Buyers Email Address: Buyers Phone Number:
Billing Address:
City: State: Zip Code: Country:

Method of Payment


Card Number Code(What's This?) Expiration (mm/yyyy) /
Sub Total
CA Sales Tax
Shipping*
Total** -->

*Shipping Schedule
Standard (within 7 business days) ........ $10.99
Expedited (2-4 business days) ............ $20.98
2-Day (business days) .................... $27.98
Overnight Air ............................ $32.98

**Order Cut Off Time
Orders recieved after 12:00pm(noon) PST will be processed the following day.

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