H.E.A.R.T.S., LLC Transport Reservation Request

Name of Rescue Organization *

Rescue Contact Person *

Cell Phone #-please be available at this number during transport as this is the number we will call if we need anything, ex. someone not showing up, etc. *

Email Address *

Name of Person Picking Up Animal From Transport *

Cell Phone #-we will be texting this number, please make sure this is a number that receives text messages *

Email Address *

Please Select the Location Where we will be Picking up the Animal *

Please Select the Location Where we will be Dropping Off the Animal *

Please Select the Date of Transport *

Animals Name *

Breed

Age

Weight-As of transport date-we know puppies grow!! *

Will the Animal be residing in the State of Rhode Island?-We will need a copy of the health certificate by the Thursday of transport week in order to complete our paperwork to send to the State. *

Yes

No

Will this animal have been out of the shelter environment for at least 2 weeks prior to leaving on transport? *

Yes

No

Who will be paying for the transport fee? *

Dog or Cat? *

I understand that it is up to the sending/receiving parties to comply with the laws of each individual state concerning adoption and quarantine periods. *

Yes

I understand that any cancelations need to be made at least 7 days prior to transport departure *

Yes