HETRA Blanket Services Intake Form

HETRA Blanket Services Intake Form
- Horse Sheet/Slinky ($15)
- Horse Medium Weight Blanket($25)
- Horse Large Heavy Weight Blanket ($30)
- Horse English Saddle Blanket ($5)
- Small to Medium Dog Bed ($10)
- Large to Extra Large Dog Bed ($15)
At this time, we will not be accepting blankets with tears more than one inch. Please allow approximately one week for processing time
Contact Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Blanket #1
Color, Brand, Size
Type of Blanket
Light or Heavy Soil?
Would you like your blanket waterproofed?
Number of rips/tears (under 1 inch)
Total Due Blanket #1
Blanket #2
Color, Brand, Size
Item Category
Light or Heavy Soil?
Would you like your blanket waterproofed?
Number of rips/tears (under 1 inch)
Total Due Blanket #2
Item #3
Color, Brand, Size
Item Category
Light or Heavy Soil?
Would you like your blanket waterproofed?
Number of rips/tears (under 1 inch)
Total Due Blanket #3
Please understand we don't take blankets with large tears (over one inch). We do not take responsibility for further damage which could occur to a blanket that has tears of any type.
Signature
Drop off is by appointment only. Please wait for a confirmation email or phone call to determine drop off date/time as well as pick up date and time. Please call us at 402-359-8830 for questions.
Preferred Drop off date

MonthDayYear
Date
Preferred Drop off time
Preferred Pick up date

MonthDayYear
Date
Preferred Pick Up Time
Comments
Signature
Total Due

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USDBlanket Services
Total Order

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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HETRA Blanket Services Intake Form

Contact Information

Blanket #1

Blanket #2

Item #3

Total Due

Payment Methods