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Pet Ex Account Holder: |
Desired Flight Date (MM/DD/YY):
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Air Waybill Num (if available):
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Num of, and Breed of Pet (eg. 1 Pug Puppy/2 Manx Kittens/1 Adult Boxer, etc.) :
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*Pet Carrier Dimensions (in inches) Length" X Width" X Height":
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Pet Ex Customer Name: (Your Name First & Last):
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Your E-Mail Addr ( to contact you regarding this booking):
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Consignee Name-( Name of Person Picking up Pet at airport):
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Consignee-Street Address:
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Consignee-City, State Zip:
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Consignee-Ph #, AND Cell / Alt Numbers:
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Service Level ( Priority or Cargo):
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Approx. Weight in lbs. (Including Crate) 0-25, 26-50, or 51-70 lbs:
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Insurance? (Y / N) Optional $10 Fee :
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City, State of Departure & OR 3 Digit Airport Code (If Known):
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Destination City-State (or Airport Code if Known):
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Pay with (Credit Card, Pay Pal, Money Order, or Check):
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( If Known ) Desired Flights or Drop Off Time at Origin:
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Comments/Special Instructions:
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