Phil Wilder 367 Smith St, North Attleboro, MA 02760 (508) 463-5272

 Email: info@petfriendcare.com

 Service Request                                                 SR

 

 

 

 Pets

 

 

 

 

 

Client Full Name or ID   

 

 

 

 

Best Way to Contact Today

 

 

 

 

Contact At

 

 

 

 

 

 

 

 

 

 

 

 

 

Service Begins

     /     /

Time

 

Service Ends

     /     /

Time

 

 

 

 

Daily

Every Other Day

Weekdays

 

 

 

 

Details

Visit Time

Length

Rate

Travel Fee

Cost/Visit

# of Visits

Total

Morning

 

 

+

 

X

=

 

Afternoon

 

 

+

X

=

 

Dusk

 

 

+

X

=

 

Night

 

 

+

X

=

 

Subtotal

 

Additional Charges

 

Discounts

 

Grand Total Deposit Due

 

 

 How may we reach you while you are away?

 

Trip Description/Hotel/Notes & Visitors Expected

 

 Phone:

 

 

 

 

 Email:

 

 

 

 

 

Tasks

 

Special Notes & Other Tasks

 

 

 

Email Log

 

 

 

 

 

 

Walk Dog

 

 

 

 

 

 

Feed

 

 

 

 

 

Pill / Shots

 

 

 

 

 

Injections

 

 

 

 

Plants

 

 

 

 

 

 

 

 

 

Clean Litter Box

 

 

Payment Method

 

 

 

 

 

Take Out Trash

 

 

Pay Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This request must be confirmed by my pet sitter, and a Signed Copy must be left for the pet sitter.   

Signature:  ______________________________ Date:  ___________