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9
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1
Your full name
EX: Mary Jane Doe
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2
The date you started going to the doctor
EX: 10/09/2015
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3
The dog name, breed and weight
EX: Dash, fluffy Frenchie , 10 pounds
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4
Zip code if you don’t reside in Houston
EX: 77708
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5
Would you like your order expedited?
No, I’ll wait my turn
Yes, please expedite for $50 EXTRA (this is added your total & order prioritized)
Type option 3
Type option 4
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6
Payment Options are Cash app, Apple Pay, Zelle or Chime. Please reach out for cash app or zelle information. How will you be paying?
Cash app
Chime $therealanac
Apple Pay 713-429-2513
Zelle
Other
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7
Have you sumbitted payment? *all orders go in the order of payment received* *please be aware there may be orders before yours*
YES
NO
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8
Please submit proof of payment *IF YOU DO NOT PAY, YOU ORDER WILL NOT BE STARTED ON!, I will NOT proceed without payment* (Screenshot)
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9
Email
example@example.com
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