ࡱ> QSPq` 9bjbjqPqP >6::9 ,(,C2````````BCCCCCC$DhG%C`````%C``:C   ```B `B  >XB`T p-v v?@(BPC0Cg@ GjGPBGBx`` `````%C%C```C````D    Wright Pet Care (pg.1 of 3) Pet care service contract Client Information: Name: _______________________________________Email: __________________________________ Address: ______________________________ City/State/Zip: __________________________________ Home Number ( ) ________________Cell: ( ) _________________ Other: ( ) ________________ Emergency Contact Name/ Number: _______________________________________________________ Other people/businesses that have access to your home: ________________________________________ Your Veterinarian: _______________________________________ ( ) _________________________ Referred By: _____________________________ Directions: ___________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Pet Information: Name: __________________Age/Sex/Fixed? _________________Breed/ Color: ___________________ Medical Problems/ Medications/Allergies: __________________________________________________ ____________________________________________________________________________________ Food (can/dry/both) Amt: ________ (once daily, twice daily) (am/ mid-day/ pm) Location: ___________ Water (tap/filtered/bottled) Water location: _____________ Dish location: _______________________ Leash loc: ________________Litter box loc: _________________Garbage Can loc: ________________ Favorite Toy/ Game: _____________________ Favorite Hiding Spot: ___________________________ Belongings: __________________________________________________________________________ Circle all that apply: Indoor Only, Outdoor Only, Indoor & Outdoor, Garage Kept, and Fenced Yard: back/front, Pet Door, Leash Walk, Invisible Fence (w/collar): back/front, Unleashed & does not leave the yard. (pg. 2 of 3) Name: __________________Age/Sex/Fixed? _________________Breed/ Color: ___________________ Medical Problems/ Medications/Allergies: __________________________________________________ ____________________________________________________________________________________ Food (can/dry/both) Amt: ________ (once daily, twice daily) (am/ mid-day/ pm) Location: ___________ Water (tap/filtered/bottled) Water location: _____________ Dish location: _______________________ Leash loc: ________________Litter box loc: _________________Garbage Can loc: ________________ Favorite Toy/ Game: _____________________ Favorite Hiding Spot: ___________________________ Belongings: __________________________________________________________________________ Circle all that apply: Indoor Only, Outdoor Only, Indoor & Outdoor, Garage Kept, and Fenced Yard: back/front, Pet Door, Leash Walk, Invisible Fence (w/collar): back/front, Unleashed & does not leave the yard. 1st Pet Care Service: Service: ___________________________________________ Price: _____________________ Date/ Time start: _______________ am/mid-day/pm end: _______________am/mid-day/pm Total for 1st service $__________ (due at 1st service start date) For Pet Sitting: # Visits per day: _________ Times Requested: ________________________ # of visits total: _____________ Extras for In-Your Home Care Bring in Mail/ Newspaper Water any plants? Front/back/inside Locations:______________________________ Key/Garage Opener/ Code (house): __________(neighborhood code): ___________ Keep/Leave last day/ Drop off after** Alternate: Lights/ Shades/ Blinds/ T.V./ Radio (pg. 3 of 3) Contract Agreement: Emergency Contract: The utmost care will be given in taking care of both your pets and your home (for in-home care services), but for those rare emergencies: Wright Pet Care will call you first, and if no contact is made, WPC will make the best decision possible. I (full name) __________________________ give permission for WPC to transfer my pets to my veterinarian or the closest hospital; I authorize WPC to approve medical or emergency treatment for my pets if treatment is recommended. I will assume full responsibility upon my return for payment and/or reimbursement for any veterinary services rendered. I understand that WPC cannot be held responsible for the results of any veterinary treatment given to my pets. Payment Contract: I (full name) _______________________ understand this contract serves as an invoice for services with WPC for first service provided, and I take full responsibility for payment of all services rendered. Payments are due (to the latest) within seven (7) days after last date of service given by WPC. A finance charge of ten percent 10% per month will be added to unpaid bills starting after seven(7) days, and each thirty (30) days after that. A handling fee of $25 will be charged on all returned checks. I authorize this signed contract to be valid approval for future services with WPC of any purpose provided by this contact, allowing WPC to accept telephone or email reservations for future services, without any additional signed contracts or written authorizations. Natural Disaster Emergency Plan In case of a natural disaster emergency, we will follow the pet care contract closest as possible. If a natural disaster does occur, client will be contacted immediately to take appropriate action, and to gather change of plan information. WPC cannot be held liable if any damage is done to your home during this time. We will continue to care for your pets, as allowable. I have reviewed the three (3) page service contract for accuracy, and I understand the contents of the agreement. Client Signature: ____________________________________________ Date: ________________________ $13LOPd}   $ % 4 k t & J ] }  2 I ɟhG}, hG},5hMhWJ5hB hdh?h/'hd hdhWJhG},hWJ5 hB5hWJCJaJhWJhWJCJaJh:CJaJh`hWJhWJhWJCJ$aJ$h0o;1MNOd& ^ J dh^gdWJ & FdhgdWJ & F dhgdWJ vdh^vgdWJvdh^`vgdWJ hdh^hgdWJ & F dhgdWJdhgdWJ9  # =   ! ) . 6 = > U X ] e g q { } ~   "$%.367F_bmhdCJaJhdCJaJh`0h^$hzK hdh?h? hdhdhG},hWJ5 hB5hMhWJ5 hdhWJhdE c   I dh^gdddhgdddhgdWJ dh`gdd fdh^fgdWJ & F dhgdWJ & FdhgdWJ dh^gdWJYc  )2L%0Eglt134=Uq|.Һҟhdh`0CJaJh`0CJaJh`0 hdh`0h`CJaJhMCJaJhmCJaJhWJCJaJh`0CJaJh?CJaJhdCJaJhdh?CJaJhdhdCJaJ:r&X   "t" & FdhgdM dh^gdm & Fdhgdm dh`gdmdhgd`0 dh`gd`0 fdh^fgd`0 & F dhgd`0     "AHJdtz!":<Cbп؝ h`hhBhm5hBh5 h`hMh`hmH* h`h?hB h`hmh`hm5H*h`hm5 hB5hMCJaJhmCJaJhdh`0CJaJh`0CJaJ5" dh^gdM & FdhgdMdhgdM & FdhgdM dh^gdddhgd` & F dhgd & Fdhgddhgd hdh^hgd,;@uRqNO@Cbx  cdef89Ƚйв h`hWJhh,h1CJaJh,CJaJ h`h1hw h`h?hB h`hMh`hM5>*hBhM5!de789dhgdWJ vhdh^hgdM vvdh^vgd1 vdh^gd1 & F vdhgdM dh^gdM < 00&P1:pm/ =!1"#$% @@@ NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k@(No List96 1MNOd&^J cIr& X   " t    " de78;00000 00000000 00 0000 0 0000000000000000 0@0@0@0@0@0@0@0@0@0000 00000 0000 0 0 0 0 0000 00 000 000 00000000 9 "99;PV;3OO@bx ef88;;D JBW?Jn8 bxVjC>C$Jn m3b Y5(C 7bx8>t#;@,?o~l8v@J(h^`OJQJo(hHh^`OJQJ^Jo(hHohn n ^n `OJQJo(hHh> > ^> `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh~~^~`OJQJ^Jo(hHohNN^N`OJQJo(hHh^`OJQJo(hHh^`OJQJo(hHhpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJ^Jo(hHohn n ^n `OJQJo(hHh> > ^> `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh~~^~`OJQJ^Jo(hHohNN^N`OJQJo(hHhhh^h`OJQJo(hHh88^8`OJQJ^Jo(hHoh^`OJQJo(hHh  ^ `OJQJo(hHh  ^ `OJQJ^Jo(hHohxx^x`OJQJo(hHhHH^H`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHff^f`o(. 66^6`hH.  L ^ `LhH.   ^ `hH. ^`hH. vLv^v`LhH. FF^F`hH. ^`hH. L^`LhH.h^`OJQJo(hHh^`OJQJo(hHhpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh88^8`OJQJo(hHh^`OJQJ^Jo(hHoh  ^ `OJQJo(hHh  ^ `OJQJo(hHhxx^x`OJQJ^Jo(hHohHH^H`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHhpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJ^Jo(hHohn n ^n `OJQJo(hHh> > ^> `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh~~^~`OJQJ^Jo(hHohNN^N`OJQJo(hHh^`OJQJo(hHh^`OJQJo(hHhpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJo(hHhpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJo(hHhpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHhpp^p`OJQJ^Jo(hHoh@ @ ^@ `OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHhPP^P`OJQJ^Jo(hHoh  ^ `OJQJo(hH^`o() ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.;@VjC$BW?8o~l m3SaEbZACCeVfY5 78 D8v                  $h[                                                                                                           yWJ`0/'G},13Ma]g f0o`,^$B m?d:zKw@4)@9@UnknownGz Times New Roman5Symbol3& z Arial;Wingdings?5 z Courier New"h$ܦV2 w *w *!124d..2QHX)?WJ2Wright Pet CareCheyenne BatesCheyenne BatesP            Oh+'0   @ L Xdlt|Wright Pet CareCheyenne BatesNormalCheyenne Bates14Microsoft Office Word@@Ku@ڇvw՜.+,0 hp|  * . Wright Pet Care Title  !"#$%&'()*+,-./0123456789:;<=>?ABCDEFGIJKLMNORRoot Entry FpvT1TableGWordDocument>6SummaryInformation(@DocumentSummaryInformation8HCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q