*Desired Flight Date (MM/DD/YY):

Air Waybill Num (if available):

Num of, and Breed of Pet (eg. 1 Pug Puppy/2 Manx Kittens/1 Adult Boxer, etc.) :

Age and Weight of Pet (eg. 10 weeks, and 2.5 lbs, 12 Weeks and 4 lbs etc) :

Pet Carrier Dimensions L" X W" X H":

*Pet Ex Customer Name: (Your Name First & Last):

*Your E-Mail Addr ( to contact you regarding this booking):

*Shipper-Street Address:

Shipper-City, State Zip:

*Shipper-CELL Phone #, AND Ph Num. to contact in case of flight changes:

Consignee Name-( Name of Person Picking up Pet at airport):

Consignee-Street Address:

Consignee-City, State Zip:

Consignee-CELL Phone #, AND Ph Num. to contact in case of flight changes:

Service Level ( AA , Delta, United, or NP-No Preference ) :

Approx.TOTAL Weight (lbs)-Include Crate Wt :

Insurance? (Y / N) Optional $10 Extra Fee :

City, State of Departure & OR Airport Code (See Links on left):

Destination City-State OR Airport Code (See Links on Left):

Pays with - (C/C, P/Pal, or Chk) (Must be received before ship date):

Comments/Desired Flight Plan or DROP-OFF TIME, Please Be Specific:

If you have another flight confirmed for same day, Please its Put Flight Time Here: