Please enable JavaScript in your browser to complete this form.Animal(s) Name *Animal(s) Breed *Animal(s) Sex *Animal(s) Age *Spayed/Neutered *Shipper's Name *Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSpecial Feeding InstructionsDate *Customer Signature *Medical Release and Disclaimer *I accept the terms and conditions of the Feeding and Special Instructions belowP.E.T.S feeds your pets according to their usual feeding schedules. In addition, fresh spring water is available at all times, as water bowls are kept in their crates. Water is checked and freshened throughout the day. There is no extra charge for pets that are on medication. Please be thorough in your directions for dispensing. Thank you. I understand that submitting this form makes this a legal and binding document.Submit