AJC R&T Booking Request

Rescue Name (or party responsible for invoice)

Rescue Name

Contact name

First NameLast Name

E-mail

example@example.com

Phone Number

Format: (000) 000-0000.

Origin City (Default Houston. Other locations with prior arrangements and surcharge)

Name of person or group receiving the animal(s)

First NameLast Name

Phone Number of receiver

Please enter a valid phone number.Format: (000) 000-0000.

Destination address (must match Health Certificate. For a list of available delivery locations, please contact us)

Street Address

Street Address Line 2

CityState

Zip Code

Number of adult Dogs/Cats

Name

Number of Puppies/Kittens 6-12 weeks

Number of Puppies/Kittens 12-16 weeks

Travel Date (for a list of available travel dates, please contact us)

DayMonthYear

Please check all that apply.

Other

Please confirm that you have read and agree to our Terms of Service as outlined below.

TERMS OF SERVICE (Updated and effective 4/1/25)We are a 501(c)3 nonprofit rescue & transport group and our transport is part of our rescue fundraising activity, meaning all proceeds after expenses, are used to fund the saving and vetting of more dogs. We currently service mainly the Northeast/New England area and the Midwest (Iowa/Chicago/Michigan/Ohio)We operate a Mercedes Benz Sprinter Van and all dogs are transported in Airline crates, in accordance with USDA guidelines. Our rates are structured as follows:$250 per dog up to 100 lbs $300 per dog over 100 lbs (or tall enough to require a 38” crate or larger)2 puppies sharing a crate $300 per crate (puppies must be siblings, under 20lbs each, no more than 2 puppies per crate. $300 per nursing mom with litter up to 4 weeks old $350 per nursing mom with litter 4-6 weeks old (Additional fee of $100 per crate applies for litters of more than 6 puppies)$300 per crate for puppies over 6 weeks old and no longer nursing, no more than 2 puppies per crate as long as puppies are under 20 lbs each. Above 20 lbs, the individual crate rate applies. Due to the dramatic increase in fuel prices we have a $25 per crate fuel surcharge until further notice. These rates are for dogs originating in the greater Houston area. Other pick up locations are available with prior arrangement and additional fee based on location and quantity of dog loading at that location. We utilize the following Jotform for bookings. Unless your booking has been received via this form, we cannot guarantee that a crate has been reserved. If a booking is received and we are fully booked for the date you are requesting, we will contact you right away. Payment and health certificates, for dogs booked on transport, must be received by email no later than 48 hours prior to scheduled loading. We require that all dogs obtain USDA CVI Health Certificates (Certificates Of Veterinary Inspection For Interstate Travel). Please make sure your vet is able to issue this type of Health Certificate and contact us for examples if you have any questions. Certain states require GVL (Global Vet Link) versions of the CVI. Please contact us if you are unsure about the type of HC your dog needs to have. Dogs canceled less than 48 hours prior to loading (or refused at loading for health/safety concerns or for incorrect/missing/incomplete paperwork) will still incur the full original transport fee. Payments can be made via:Venmo:@Andrea-Crain-8Zelle:713-449-1077Zelle is preferred since it does not charge a fee. Health certificates and Rabies certificates (if applicable), as well as proof of a clear fecal exam, must be sent to Ajcrescuetransport@yahoo.com at least 2 days prior to transport. Original Health Certificate, vaccination records and Rabies Certificate (if applicable) must accompany the dog during transport. DOGS BROUGHT TO LOADING WITHOUT THIS DOCUMENTATION PRESENT, WILL NOT BE LOADED. All dogs (except NPG puppies) must wear a collar when brought to loading. Any dog not wearing a collar, will be provided one by us and a fee of $10 per dog added to the transport fee. All dogs must be at least 14 days post shelter exit, meaning they must have spent at least 14 days in boarding/vet care/foster care before they are eligible for transport. Health requirements:Adult dogs:DAPP vaccine Bordetella vaccineRabies vaccine Vaccinations must be done at least 5 days prior to transport Clear fecal exam within 7 days of transport. Health certificate Puppies over 6 weeks old and no longer nursing:At least 2 sets of DAPP vaccinesBordetella vaccine Rabies vaccine (if old enough)All vaccinations must be given at least 5 days prior to transport. Clear fecal exam within 7 days of transport. Health certificate Proof of negative Parvo test within 7 days prior to transport. Additional requirements may apply, based on the laws of the state the dogs are going to. Please check with your vet and the website of the Department of Agriculture of the state where your dog is going. We reserve the right to refuse any animal that shows signs of aggression or illness at the time of loading or is brought to loading without the required documentation. Severability If any provision of this agreement is found to be invalid or unenforceable, the remaining provision shall remain in full force and effect.

Does your animal have any medical or behavioral conditions we need to be aware of or will there be medication we need to administer during the transport? If yes, please explain below.

Please list Name, Breed, Weight & Age for each animal and describe any medical/behavioral condition we need to be aware of.

Transport Booking Request