About You

First Name *

Last Name *

Phone *

Email *

Address *

About Your Pet

Pet's Name *

Pet's approximate weight in kilos *

up to 10kgs
10.1 to 15kgs
15.1 to 20kgs
20.1 to 25kgs
25.1 to 30kgs
30.1 to 35kgs
35.1 to 40kgs
40.1 to 45kgs
45.1 to 50kgs
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Type of pet *

Pet's Date of Birth *

How would you like to be contacted? *

Email

Call

SMS

How did you find out about us? *

Through our vet
Through social media
Google/search engine
Word of mouth
Other
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Vet/Clinic Name *

By checking this box, I agree to the plan terms.

By checking this box, I agree to the privacy policy.

I, the undersigned, certify that:

I am the legal owner of the pet described in this request
I have full authority to arrange for their cremation
I authorize Green Meadows Pet Aftercare Services Inc. to perform cremation services
I release Green Meadows from any liability related to these services

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When you submit your request below, you will be redirected to the payment page to make your first payment. Please note that this initial amount you pay will be the amount that you will pay monthly thereafter. Please send us a screenshot of your payment.