RainbowTAILS Voucher Application

RainbowTAILS Voucher Application*

*Kootenai County residents ONLY at this time. Thank you!
Owners Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:*

Area CodePhone Number
Email:*
example@example.com
Pets Name: *
Type of Pet:*
*Dogs/cats, pocket pets, reptiles/amphibians or birds only (no livestock at this time).
Age of Pet:*
Weight:*
Brief explanation for requesting voucher:*
What do you want done with your pet's remains?*

I will take my pet homePlease send for cremation (no ashes returned)
Would you like to receive a copy of e-newsletter, 'The TAILS Times'?

Yes, please!
**SERVING KOOTENAI COUNTY RESIDENTS ONLY AT THE TIME*

YES, I am a resident of Kootenai County
Vouchers are $35 towards euthanasia. Owners responsibility will be $30. Once voucher is requested, an email with instructions will be sent to you. At this time we are using Companion Animal Center for medical services. Thank you.
Should be Empty:

RainbowTAILS Voucher Application*