07-P`n`C service_request

Service Request
Pets:
Client Name: ________________________________
Phone #: ____________________________________
E-Mail Address : _______________________________
Service Begins:
/
/
Time:
Service Ends:
/
/
Time:
Every
Other Day
Daily
Weekdays
Expected Return Time : ____________ a.m. / p.m.
Details
Visit Time
Travel
Fee
Rate
Cost / Visit
# of Visits
Total
Morning
a.m.
+
$
$
Afternoon
p.m.
+
$
$
Dusk
p.m.
+
$
$
Night
p.m.
+
$
$
Subtotal
Total Deposit Due
$
$
Trip Description / Hotel / Notes & Visitors Expected
How may we reach you while you are away?
Phone:
E-Mail
Tasks
Special Notes & Other Tasks
Daily Notes
Walk Dog(s)
Feed / Water
Medication
Clean Litter Box
Take Out Trash
Alt. House Lights
Bring in
Newspaper
Bring in Mail
Brush Pet
Water Plants
Payment Method
Pay Date
Check #
Cash
This request must be confirmed by Paws ‘n’ Claws Pet Sitting and a signed copy must be left for the
pet sitter.
By submitting this request, I agree to all terms as stated on www.PawsnClawsVernal.com.
If you have any questions, please call (435) 219-9720, and thank you for choosing Paws ‘n’ Claws Pet Sitting.
Please make checks payable to: Stan Aylsworth
Client/Pet Parent Name: _______________________________________________________________
Signature: __________________________________________________ Date: ______/______/_____
© 2015 Paws ‘n’ Claws Pet Sitting