Application for Vets OnlyPlease fill in the form below on the clients behalf, then send Ruby a Teams message. Name of Vet Clinic Applying * Name of Staff Member Applying * First Name Last Name Owner/Client Details * First Name Last Name Email * Phone (###) ### #### Pets Name * Service Required * Please select all services required (can tick multiple) Euthanasia Communal Cremation Private Cremation Please confirm the client has been rejected by Vetpay * Confirmed Amount client can contribute to the bill * Total amount you needs us to cover * Thank you!
