| Name:
|
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| Address at Origin:
|
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| Phone Number:
|
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| Email:
|
|
| Fax Number:
|
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| Destination:
|
|
| Pet name:
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| Species&Breed:
|
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| Sex:
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(Female or Male) |
| Date of Brith:
|
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| Color:
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| Proposed date of travel (dd/mm/yy):
|
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| Prefer the way of transportation:
|
(as cargo or as excess baggage) |
| Approximate weight(with crate):
|
kilograms |
| Does it have a microchip or tattoo?
|
(Yes or No) |
| Has it been vaccinated?
|
(Yes or No) |
| Where was it vaccinated?
|
|
| Is this Vaccination Record available?
|
(Yes or No) |
| Do you have a crate for aviation?
|
(Yes or No) |
| Which measurement is this crate?
|
＿＿ cm x ＿＿ cm x ＿＿ cm
(long x wide x high)
|
| The condition of health and medication:
|
|
