First Name *

Last Name *

E-Mail *

Phone Number *

Pet Name(s) *

Pet Type * Pet Type*DogCatOther

Sex(M/F) * Sex(M/F)*MaleFemale

Sprayed or not? * Sprayed or not?*YesNo

Breed(s) *

Color(s)

Status of vaccination(s) * Status of vaccination(s)*Up to dateFully vaccinatedNot availableDon’t Know

Vaccinated with Rabies? * Vaccinated with Rabies? *YesNoNot Sure

Length from nose to root of tail (in cm) *

Width across shoulders (in cm) *

Height from ground to elbow (in cm) *

Your pet’s weight *

Departure Country * Departure Country*ChinaHong KongMacauSingaporeUnited States of AmericaAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChilePeople’s Republic of ChinaRepublic of ChinaColombiaComorosDemocratic Republic of the CongoRepublic of the CongoCosta Rica, CroatiaCubaCyprusCzech RepublicDanzigDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGaza StripThe GambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly Roman EmpireHondurasHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsraelItalyIvory CoastJamaicaJapanJonathanlandJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMount AthosMozambiqueNamibiaNauruNepalNewfoundlandNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanOttoman EmpirePakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPrussiaQatarRomaniaRomeRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & theGrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Departure State

Departure City *

Date of Departure *

Are you traveling with your pet? * Are you traveling with your pet?*YesNoMaybe

Arrival Country * Arrival Country*ChinaHong KongMacauSingaporeUnited States of AmericaAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChilePeople’s Republic of ChinaRepublic of ChinaColombiaComorosDemocratic Republic of the CongoRepublic of the CongoCosta Rica, CroatiaCubaCyprusCzech RepublicDanzigDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGaza StripThe GambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly Roman EmpireHondurasHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsraelItalyIvory CoastJamaicaJapanJonathanlandJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMount AthosMozambiqueNamibiaNauruNepalNewfoundlandNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanOttoman EmpirePakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPrussiaQatarRomaniaRomeRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & theGrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Arrival State

Arrival City *

Date of Arrival *

Do you need pickup service? * Do you need pickup service?*NoYes

Relocation Reason Relocation ReasonWorkSchoolMilitary MoveBuy or SellPersonalOther

Do you need special arrangement? * Do you need special arrangement?*YesNo

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