BOOKINGS

Please make your on-line booking on the form below. We will respond to this reservation within 24 hours.
   * = required fields.

Title
First Name   *
Last Name   *
Contact methods:   Preferred   *
Email   *    
Cell Phone    
Work Phone    
Home Phone    
Address
Date in   *   
Date pick up   *   
Veterinary Practice
Date of Last Vaccinations
Emergency Name
Emergency Contact number
Other Owner Name
 
  Pet 1 Pet 2 Pet 3
Pets Name   *
Dog or Cat Dog
Cat
Other: 		Dog
Cat
Other: 		Dog
Cat
Other:
Colour
Breed
Male/Female Male
Female 		Male
Female 		Male
Female
Desexed ? Yes
No 		Yes
No 		Yes
No
Age / Dob
Pet ID (Registration tag)
Comments
 
Security question    * Type the word PLATYPUS in the box.
Terms and Conditions    * Tick this box to let us know you have read and accepted our Terms and Conditions.
 

Press the Save Booking Details button below to Complete the Booking request.

Please note you will not get an email to acknowledge your request (even if you provided your email address).
If there are any problems, or you want a confirmation we received your booking request, please ring (07) 856 6890.