PNW and NE Transport Reservation Form

Rescue/Sender Name and contact

Rescue nameRescue Contact

Rescue/Sender Contact Email

example@example.com

Rescue/Sender Contact Phone #

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

Name of Dog/Cat

Age of Dog/Cat

Please put age in months or years.

Gender

Weight of dog

This helps decide what size crate is needed, please be as exact as possible.

Breed of dog/cat

General breed appearance.

Description

Distinguishing marking

Tells us about your dog. This helps us make decisions on placement in the van as well as adjustments to make sure they are as comfortable as possible on the trip.

Medications – if your animal requires special oral medications (no shots or refrigerated meds), please be sure to list the medication name, time(s) to be given and what the medication is for below. We do not accept animals for transport that are currently on antibiotics (Doxycycline, Baytril, Albon, etc.) as they could infect the other animals. If no meds type N/A

Reciever/Adopter's Name

First NameLast Name

Is the receiver a:

Reciever/Adopter's email

example@example.com

Receiver/Adopter's phone #

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

Please choose one Transport date below

Destination of Dog/Cat East Coast

Please pick the closest city to your adopter. We will contact you if we feel there is a closer drop off location. If a PNW drop off, chose N/A

Destination of Dog/Cat PNW

Please pick the closest city to your adopter. We will contact you if we feel there is a closer drop off location. If a East Coast drop off, chose N/A

PLEASE NOTE: TEMPORARILY we will be increasing our crate cost by $20 per crate to cover the increase in the cost of gas. We are sorry for this inconvenience. Please click below to confirm acknowledgement.

Crate Size

See Crate sizing help below. If the crate you choose is too small, the dog will be refused at transport drop off and no refund will be given. Millie's reserves the right to downsize a crate if a size chosen is bigger than needed for listed animal.

Will your dog/cat be sharing a crate

There is a $25 per extra dog/cat in added to a crate. If animals are sharing a crate they must either be litter mates or live in the same home together. The crate size will be determined on the size of each dog/cat combined. We have the right to say no to this if we deem. There is a $25 per extra dog/cat in added to a crate.

If you answered yes to the above question, please give us the name(s) of the dog/cat they would be sharing with.

We will still need a form for each dog/cat to reserve, even if they are sharing a crate.

Please select your preferred drop off

Times for drop off will be given later

I under that submitting this form does not guarantee a reservation for transport. Millie's Rescue Rides will reach out and confirm receipt and reservation.

By submitting this request, you have read and agree to both our 'Transport Health and Safety' and 'Terms and Conditions' documents below.

I understand that a $50 deposit per crate will be required to reserve. This $50 deposit will go toward the final transport cost of your crate(s). The $50 deposit is non-refundable unless Millie's Rescue Rides cancels the transport date.

If the email to send the Inuit/Quickbooks invoice for transport is different than the contact, please add that below.

If this is blank we will send the invoice to the Rescue contact email at the top of the form

Please fill out and submit to start the reservations process for Transport

Transport Reservations