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506 W. 19th Street, Ste.208, Houston, Texas 77008  713-695-1684

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RESERVATION REQUEST FORM

mrs_katz1.jpg  MRS. KATZ

Established Clients Only!

Please complete the form below.

This form is to submit a Reservation Request and does not officially confirm your reservation. Your reservation will be confirmed either via email notification or verbally by Sharon.

Use the "TAB" button to move from one field to the next.

DO NOT hit the "ENTER" button until you are ready to submit your form.

Bold fields are required

Pet Owner's Name:

 

Pet Owner's Phone Number:

 

Pet Owner's Cell Phone Number:

 

Please enter the address where the pet sitting services will take place. Be sure to enter city/state/zip:

 

Please list the names and types of pets we will be visiting:

 

What is the date you plan to leave?

 

What time of day do you plan to leave?

 

Please give us the name and address of the location you will be staying during your absence from home:

 

Please give us the telephone number for the location you will be staying during your absence:

 

Please list any other locations you will be staying during this absence from home:
(Be sure to include the address, phone number and the dates you expect to be at each location.):
 
(if there are no other locations, please enter the word "None")

 

What is the date you plan to return home?

 

What time of day to you plan to return home?

 

What day would you like us to begin pet sitting services?

 

What time on the above day would you like pet sitting services to begin?

 

VERY IMPORTANT!!
How many visits would you like us to make per day?
 
Simply enter the number of times each day you would like us to visit your pet

 

 

 
VERY IMPORTANT!!
Please list the specific times during the day you would like us to visit:
(Example: you state above that you would like 2 visits per day. If you want the visits at 7 am and 5 pm, simply state the times of "7 am and 5 pm". If you want to request an overnight stay, additional charges apply, use the word "overnight".)

 

How many total visits would you like?

 

By entering my initials and last four digits of my Social Security number I acknowledge that I must notify BDMKPS within 72 hours of any changes that may take place in this schedule. Should changes take place, and I do not contact BDMKPS within the 72-hour time frame, I understand that a minimum fee of two pet visits will be incurred and agree to pay any fees incurred regarding this issue. Additionally, I understand that my requested visits are not officially scheduled until which time that I have received an email or verbal confirmation regarding my Reservation Request submission.
Pet Owner's Initials:

 

Pet Owner's last 4 digits of Social Security Number:

 

Email:
   

 

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