PETGUARD ID CARD INFORMATION FORM

Make payable to:

SARA, PO Box 607, Midlothian, TX. 76065

3 Photo ID cards: $25.00 - each additional card $5.00 - Shipping $7.00 per order

Texas Residents must add 6.75% Texas Sales Tax

INCLUDE 1 PHOTO OF PET WITH ORDER

Pet Name:

 

 

Species/Breed:

 

 

Color/s:

 

 

Tattoo/Chip:

 

 

Height/Weight:

 

 

Sex/Date of Birth:

 

 

Owner:

 

 

Address:

 

 

City/State/Zip:

 

 

Home Ph/Work Ph:

 

 

Veterinarian:

 

 

Address:

 

 

City/State/Zip:

 

 

Phone:

 

 

Emergency Contact:

 

 

Phone:

 

 

Emergency Contact:

 

 

Phone:

 

 

Health Condition/s:

 

 

Medication/s:

 

 

Allergies:

 

 

Other Info: