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I authorize a maximum of to be used towards my pets care at the Animal Emergency Clinic Of The Fraser Valley and or Boundary Bay Veterinary Specialty Hospital. Visa or MasterCard Number Exp Security Code Name as it appears on the card Cardholders Signature Please indicate when you would like us to shred this form when credit card expires after trip is completed Description of Pet Sex circle one Male/Female Neutered/Spayed Species eg. Cat dog Color Breed Vaccination History Medical History Don...
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