I give permission to Laura A. MacKenzie owner and operator of K-9 Country Inn permission for my pet to be seen by the K-9 Country inn Vet or emergency vet if my dog requires emergency veterinary care. I authorize K-9 Country Inn and their representatives to utilize my credit card listed below up to the amount indicated below. Laura A. MacKenzie will make every attempt to contact the emergency person indicated on the boarding questionnaire and to contact the owner by phone before any treatment commences. If the unable to contact the owner and the pet is in distress,Laura A. MacKenzie will take the dog to the veterinary clinic. The owner is responsible for all expenses incurred. By completing this form and submitting to K-9 Country Inn the owner has given permission to utilize K-9 Country Inn's Vet in case of emergency.

* indicates required fields 
  *Owners Last Name:
  *Postal Code:
  *Phone Home:
  *Phone Cell:
  *Dogs Name:
  *Breed of Dog:
  *Credit Card Number:
  *Exp date:
  *Security number:
  *Amount Authorized:

After filling the details click on the SUBMIT button.
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