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Your Name *

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Pet Type *

Pet Quantity *

Pets' Name, Age & Breed *

Your Pet's Current Full Address *

Current Country *

Your Pet's Destination's Full Address *

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Intended Date of Travel

Date of Last Annual / Primary Vaccination

Date of Last Rabies Vaccination

Microchip Implanted *

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(IF PET MEASUREMENTS, VALUES FOR A & D ONLY
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