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- I have read and understand the above information.*
- I am a resident of Lancaster County, Pageland, Jefferson, Fort Lawn or Great Falls (all other applications will be denied).*
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Format: (000) 000-0000.
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- I would like my voucher(s) to be:*
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- Pet #1 Animal Type*
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- Pet #1 Gender*
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- Pet #1 - Has this pet ever seen a vet?*
- Pet #1 - Does this pet have a current rabies vaccine?*
- Pet #1 - Does this pet have a current DAPP (for dogs), FVRCP (for cats) vaccine?*
- Pet #1 - I need an E-collar for my pet. E-collars prevent the animal from harming themselves by licking or pulling on the stitches and opening the incision. E-collar is optional but highly recommended ($10).*
- Pet #1 - I would like my pet microchipped with lifetime registration ($25)*
- Pet # 1 - I would like my CAT to be given a Feline Leukemia (FeLV) and Feline Aids (FIV) test ($40).*
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- Pet #2 Animal Type
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- Pet #2 Gender
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- Pet #2 - Has this pet ever seen a vet?
- Pet #2 - Does this pet have a current rabies vaccine?
- Pet #2 - Does this pet have a current DAPP (for dogs), FVRCP (for cats) vaccine?
- Pet #2 - I need an E-collar for my pet. E-collars prevent the animal from harming themselves by licking or pulling on the stitches and opening the incision. E-collar is optional but highly recommended ($10).
- Pet #2 - I would like my pet microchipped with lifetime registration ($25)
- Pet #2 - I would like my CAT to be given a Feline Leukemia (FeLV) and Feline Aids (FIV) test ($40).
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- Pet #3 Animal Type
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- Pet #3 Gender
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- Pet #3 - Has this pet ever seen a vet?
- Pet #3 - Does this pet have a current rabies vaccine?
- Pet #3 - Does this pet have a current DAPP (for dogs), FVRCP (for cats) vaccine?
- Pet #3 - I need an E-collar for my pet. E-collars prevent the animal from harming themselves by licking or pulling on the stitches and opening the incision. E-collar is optional but highly recommended ($10).
- Pet #3 - I would like my pet microchipped with lifetime registration ($25)
- Pet #3 - I would like my CAT to be given a Feline Leukemia (FeLV) and Feline Aids (FIV) test ($40).
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- Pet #4 Animal Type
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- Pet #4 Gender
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- Pet #4 - Has this pet ever seen a vet?
- Pet #4 - Does this pet have a current rabies vaccine?
- Pet #4 - Does this pet have a current DAPP (for dogs), FVRCP (for cats) vaccine?
- Pet #4 - I need an E-collar for my pet. E-collars prevent the animal from harming themselves by licking or pulling on the stitches and opening the incision. E-collar is optional but highly recommended ($10).
- Pet #4 - I would like my pet microchipped with lifetime registration ($25)
- Pet #4 - I would like my CAT to be given a Feline Leukemia (FeLV) and Feline Aids (FIV) test ($40).
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- Should be Empty: