Pet Transport Service Request Please complete all information in order to get your service delivered. If you are a human and are seeing this field, please leave it blank. 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Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts And Nevis Saint Lucia Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia, South Sandwich Islands South Sudan Spain Sri Lanka St. Helena St. Pierre And Miquelon Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe Receiver Name Prefix First Name * Last Name * Suffix Pet 1 Info Breed * Weight * Age * Gender * Pet 2 Info Breed Weight Age Gender Pet 3 Info Breed Weight Age Gender If 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) Kennel 1 Info Size Length Width Height Kennel 2 Info Size Length Width Height Kennel 3 Info Size Length Width Height Terms & 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. RESCHEDULING In 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. CANCELLATION Cancellations 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 Comments Confirm that you are not a bot *