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Thank you for taking care of |
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Where we’ll be: | |
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Address: | |
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Phone: |
Cell phone: |
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Date/time expected home: |
Other: |
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Food: |
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Water: |
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Lights/heat/AC: |
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Medications: |
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Cautions: |
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Favorites: |
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Regular vet: |
Phone: |
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Emergency vet: |
Phone: |
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Neighbor or friend: |
Phone: |
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We give you permission to authorize emergency medical care for our pet(s) as deemed necessary by a veterinarian, and we will be responsible for full payment of such care. YES CALL US FIRST | |
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Signature: | |
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Police: | |
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Fire department: |
Phone: |
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Our name and address: |
Phone: |
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Nearest intersection: | |
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Other directions: | |
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Power company: |
Phone: |
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Location of gas shut-off valve/breaker box:: | |
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Water: |
Phone: |
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Location of water shut-off valve: | |
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Electric company: |
Phone: |
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Location of electrical breaker box: | |
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We give you permission to authorize emergency work if necessary to prevent damage, and we will be responsible for full payment of such work. YES CALL US FIRST | |
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Signature: | |
OPA-petcare-0705
Compliments
of the Organization of Professional Aviculturists,
Inc.