Elementor #4169

Client Contract Form

Step 1 of 8

12%

Client Contract
Quote Reference
Quote Option Chosen*
Choose your request*
Owner of Pets
Name
First Last
I.D Number
Passport Number
Collection Contact Details
Contact Person
First Last
Tel (Home)
Tel (Work)
Tel (Mobile)
Tel (Alternate)
Email
Collection Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Delivery Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Agent Name & Contact Person (if applicable)
First Last
Phone

Pet & Owner travel dates
PETS DEPARTURE DETAILS
Collection Date
Delivery Date
Kennel Date From
Kennel Date to
Owners Departure Details
Departure Date
Owners Flight Details (150 chars left)

Pet 1
Name
Breed
Gender
Date of Birth
Is your animal sterilized?
Colour
Most current inoculations:
Date
Serial Number
Most current inoculations:
Date
Serial Number
Other
Date
Microchip Number
Date
Medical / behavioral/dietary details
Do you have another pet?
Pet 2
Name
Breed
Gender
Date of Birth
Is your animal sterilized?
Colour
Most current inoculations:
Date
Serial Number
Most current inoculations:
Date
Serial Number
Other
Date
Microchip Number
Date
Medical / behavioral/dietary details
Do you have another pet?
Pet 3
Name
Breed
Gender
Date of Birth
Is your animal sterilized?
Colour
Most current inoculations:
Date
Serial Number
Most current inoculations:
Date
Serial Number
Other
Date
Microchip Number
Date
Medical / behavioral/dietary details
Do you have another pet?
Pet 4
Name
Breed
Gender
Date of Birth
Is your animal sterilized?
Colour
Most current inoculations:
Date
Serial Number
Most current inoculations:
Date
Serial Number
Other
Date
Microchip Number
Date
Medical / behavioral/dietary details
Do you have another pet?
Pet 5
Name
Breed
Gender
Date of Birth
Is your animal sterilized?
Colour
Most current inoculations:
Date
Serial Number
Most current inoculations:
Date
Serial Number
Other
Date
Microchip Number
Date
Medical / behavioral/dietary details
Do you have another pet?
Pet 6
Name
Breed
Gender
Date of Birth
Is your animal sterilized?
Colour
Most current inoculations:
Date
Serial Number
Most current inoculations:
Date
Serial Number
Other
Date
Microchip Number
Date
Medical / behavioral/dietary details

Vet Name
Practice Name
Tel Number
Pets File Number (if applicable)
Email address
Additional pet information: Behavoural, Medical, Dietary etc

Deposit Amount to be paid:
Important Note: Deposit is non-refundable; any cancellation after deposit has been paid will not be refunded, this is to cover administration fees. Please fax / email proof of payment to your Pet Relocation Consultant.
Options
Account Details
Acc Name: Transpet cc t/a PETport
Bank: First National Bank
Acc Number: 62314161340
Branch: 250655
VAT No: 4900260102
Payfast
SnapScan
Please fax / email proof of payment to your Pet Relocation Consultant.

Completed and Signed Client Statistics
50% for domestics and imports and 15% for international
Copy of SA ID Book or Passport in Name of Applicant

Drop files here or

Copies of Microchip Certificates (if applicable)

Drop files here or

Copies of Blood Tests (if applicable)

Drop files here or

Copies of Vet books

Drop files here or

Photos of all travelling Pets

Drop files here or

All documents in the check-list MUST be returned, we cannot start any relocation until such time that ALL necessary documents are returned, this may result in a delay in bookings and as such not being able to accommodate required travel dates.

All Original Documents must travel with the Pet, it remains the responsibility of the owner at all times to ensure that Original Documents are provided for travel.

Measuring your pet for travel
Every Travel Crate is fitted with a water bowl and our international travellers receive a complimentary pet travel bed.
Pet 1
Name
Measurement A
Measurement B
Measurement C
Measurement D
Pet 2
Name
Measurement A
Measurement B
Measurement C
Measurement D
Pet 3
Name
Measurement A
Measurement B
Measurement C
Measurement D
Pet 4
Name
Measurement A
Measurement B
Measurement C
Measurement D
Pet 5
Name
Measurement A
Measurement B
Measurement C
Measurement D
Pet 6
Name
Measurement A
Measurement B
Measurement C
Measurement D

Section Break
Please print document, sign and email back to info@petport.co.za - Click here to down load pdf
I agree to all the terms and conditions

Name*
First Last
Quote Ref No

Client Contract Form

Step 1 of 8

Client Contract

Owner of Pets

Collection Contact Details

Pet & Owner travel dates

Owners Departure Details

Pet 1

Pet 2

Pet 3

Pet 4

Pet 5

Pet 6

Account Details

Payfast

SnapScan

Measuring your pet for travel