|
|
|
| Owner/Operators John and Denise Clark 773 State Highway One R D 31, Levin New Zealand |
Tel: +64 362 6184 |
|
BOOKING FORM Please be aware that bookings are confirmed on a "first come first
served" basis. Owners Name: __________________________________ Overseas Address: __________________________________ __________________________________ __________________________________ __________________________________ Overseas Tel (hm): _____________Tel (off): ______________ Overseas Mobile: _____________E-mail: _______________ Overseas Fax: __________________________________ NZ Address: __________________________________ (or representative) __________________________________ __________________________________ __________________________________ NZ Tel (hm): _____________Tel (off): ______________ NZ Mobile: _____________E-mail: _______________ NZ Fax: __________________________________
Pets Name/s: ______________ _____________ ______________ Dog / Cat ______________ _____________ ______________ Breed: ______________ _____________ ______________ Colour: ______________ _____________ ______________ Sex: ______________ _____________ ______________ Age: ______________ _____________ ______________ Microchip Number: ______________ _____________ ______________ First blood test date: ______________ _____________ ______________ Vaccination dates: ______________ _____________ ______________ Date Booking Required: From: ______________To:____________ Estimate / Confirmed (Delete one) Arrival Date Range: Earliest Date: ______________Latest Date:_____________ Special requirements: (Grooming, Diet etc.): Please use a separate sheet if necessary.
All pets must be fully vaccinated as follows: DOGS: CATS: A copy of the vaccination certificate must accompany the booking request. Vaccination status should be confirmed to Shado-Lans prior to booking confirmation. The original vaccination certificate must accompany the pet.
VETERINARY TREATMENT APPROVAL FORM The care of your pet is our highest priority. In the event that your
pet should require veterinary assistance and we are unable to
contact you, we will need to be able to arrange immediate veterinary
attention. I _______________________(Owner) hereby authorise Shado-Lans NZ Ltd, or
its agents, to approve veterinary Pets Name/s: ______________ _____________ ______________ Dog / Cat ______________ _____________ ______________ Breed: ______________ _____________ ______________ Colour: ______________ _____________ ______________ Sex: ______________ _____________ ______________ Age: ______________ _____________ ______________ I also agree to meet any charges arising from this care. All veterinary accounts will be itemised separately. Signed:_______________________________ Date:________________________________ Please attach a copy of any relevant veterinary records.
FOR OFFICE USE ONLY Approval for quarantine booking
Signed:
|
|