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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. |
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Bold fields are
required |
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Pet Owner's
Name: |
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Pet Owner's Phone
Number: |
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Pet Owner's Cell Phone
Number: |
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Please enter the address where
the pet sitting services will take place. Be sure to enter
city/state/zip: |
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Please list the names
and types of pets we will be
visiting: |
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What is the date you plan to
leave? |
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What time of day do you plan
to leave? |
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Please give us the name and
address of the location you will be staying during your
absence from home: |
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Please give us the telephone
number for the location you will be staying during your
absence: |
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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") |
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What is the date you plan to
return home? |
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What time of day to you plan
to return home? |
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What day would you like us to
begin pet sitting services? |
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What time on the above day
would you like pet sitting services to
begin? |
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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 |
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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".) |
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How many total visits would
you like? |
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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. |
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Pet Owner's
Initials: |
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Pet Owner's last 4 digits of
Social Security Number: |
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Email: |
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MRS.
KATZ