K-9 IDENTIFICATION

Uniting Pets And Owners

NAME:_______________________________________________________________________

ADDRESS:____________________________________Postal Code______________________

City_____________________ Province______________________________________________

Telephone #: __________________________________CELL:___________________________

Extra contact #1___________________________ #2 __________________________________

PET NAME:__________________________________DISCRIPTION_____________________

___________________________________________SEX:______________________________

SPECIAL INSTRUCTIONS:______________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
$12.00 PER YEAR 

DATE PURCHASED:__________________________DATE EXPIRES:____________________

  CALL US FOR QUANTITY DISCOUNT RATES   1-877-379-2821  

Send Form and Cheques To:

K-9 IDENTIFICATION

RR#1 C-60

CEDAR HILL RD.

FALKLAND B.C.

VOE-1W0

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