Pet Transport Service Request Please complete all information in order to get your service delivered. Pet Transport Service Request Please complete all information in order to get your service delivered. Customer Name:Name* First Last Email* Phone*Shipping Date* MM slash DD slash YYYY Shipping From:Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Shipping to:Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Receiver Name:Name* First Last Pet 1 Info:Breed* Weight* Age* Gender* Pet 2 Info:Breed* Weight* Age* Gender* Pet 3 Info:Breed* Weight* Age* Gender* Kennel 1 InfoIf you have an FFA Approved Carrier(s) Please Fill In Dimensions: Kennel Size(Small 100, Med. 200, Intermediate 300, Large 400, XLarge 500, Giant 700)Size* Length* Width* Height* Kennel 2 InfoSize* Length* Width* Height* Kennel 3 InfoSize* Length* Width* Height* Terms and Conditions PET SHIPPING AGREEMENT 4 Paws on Wheels RUSSELLVILLE, AR 72802 (512) 903-9647 1. All dogs must be at least 8 weeks of age to be transported. 2. A valid health certificate issued by a doctor of veterinary medicine no sooner than 10 days before the schedule delivery date must be obtained and travel with the pet. 3. A current rabies vaccination certificate must travel with your pet (this applies to pets over 16 weeks of age). 4. We recommend a supply of food be sent with your pet, appropriate to the number of days traveled. We will supply bottled water, ice and all bedding. (Our space is limited so we ask that no more than the necessary amount of food be sent.) 5. Should your pet require medical attention during transport, we are authorized to provide such care as is deemed necessary. Should emergency care be necessary, we will make every effort to contact you prior to taking any emergency action. However, if you cannot be reached we will use our discretion to take such steps necessary to ensure the well being of your pet(s). All charges incurred for veterinary care will be your responsibility. 6. For the safety of our clients and their pets, we will not transport a vicious animal. All pets must be socialized and friendly. All pets must be lead trained. RESCHEDULINGIn the event that you find yourself needing to reschedule your transport within 72 hours of transport day, you will be charged a rescheduling fee of 10% of the total agreed cost. It is important that you notify us immediately upon you change of plans. CANCELLATIONCancellations must be made no later than 72 hours before the scheduled pick-up date. Cancellations made after payment has been processed will receive a refund of the cost of the transport less a 25% cancellation fee. If you cancel after the 72 hours deadline, you will be charged the full transport fee and no refund will be given. PICK-UP: If no person is present at the time of transport and/or the above described paperwork is not in order at the time of pick-up or delivery, we may have to continue without your pet. You will be charged for the full amount of the transport cost. We recommend that you make alternative arrangements in case the responsible party is unavailable. DELIVERY: If no one is available to receive the animal and/or we are unable to contact the responsible party, there will be a daily fee of $150.00 per pet to defray the cost of care and boarding. The party who ordered the transport will be responsible for these extra charges. It is highly recommended that alternate arrangements be made in case the person responsible for receiving the animal is unable to do so. The receiver must be available 24 hours a day. Each client is given a scheduled one week window of time for pick up and delivery. We may need to make a pickup or delivery outside of normal business hours to keep on schedule. Due to conditions beyond our control we cannotarantee an exact date or time for pick up or delivery. We will attempt to contact you 24 hours before pick up or delivery. RIGHT OF REFUSAL: Our drivers are given the right to refuse acceptance of your pet(s) because of failure to follow the above-mentioned terms, and/or your pet(s) is found to be vicious or sickly. * I have read and accept the terms & conditions. Additional CommentsAre you a robot?NameThis field is for validation purposes and should be left unchanged.