A.M P.M
Home Cell Work
Yes No

PET INFORMATION

Dog Cat Other
Male Female
Yes No

PET INFORMATION

Dog Cat Other
Male Female
Yes No

Credit Terms: All orders are to be paid at time of service unless prior arrangements have been made with Color Country Animal Hospital, by accepting services on credit, the purchaser agrees to pay 2% of the unpaid balance per month as a FINANCE CHARGE ( ANNUAL PERCENTAGE 24% ) with a minimum charge of $1.00, and that in addition, in the event it becomes necessary to turn this account over to an attorney of collection agency for collection. the purchaser/undersigned agrees to pay all accounts must be authorized prior to services being performed.

I understand that full payment is due at the time of service.
Cash Debit Card Credit Card
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High quality veterinary services for both large and small animals