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Loving Paws Pet Loss Center
Aquamation Bio Cremation Authorization Form
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* Indicates required question
Option 1
Clear selection
Pet Type
*
Canine
Feline
Other:
Pet Gender
*
Male
Female
Pet's Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Phone
*
Your answer
Alt. Phone
Your answer
Email
*
Your answer
Veterinary Clinic
Your answer
Aquamation Type
*
Choose
Individual Aquamation (You will receive your pet's ashes)
Scatter Service Aquamation (You will NOT receive your pet's ashes)
Pet's Weight
Option 0-25 lbs.
26 - 50 lbs.
51 - 75 lbs.
76 - 100 lbs.
100+ lbs.
Next
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