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CANINE Vaccine Clinic Registration PLEASE PRINT NEATLY Date Your Name Address Street Address City State Zip Code Phone Number DOG 1 DOG 2 DOG 3 DOG 4 NAME BREED COLOR SEX FIXED AGE WEIGHT Please select from the following services Package Rabies Distemper Bordetella Rabies 1 year 5-in-1 Distemper Bordetella Microchip Heartworm Test Iverhart Max 6-12 lbs 6 mo. Supply Revolution 5-10 lbs. De-worming Under 5 pounds Rabies Tag Altered 45. 00 10. 00 25. 00 20. 00 15. 00 30. 00 38. 00 50. 00 63. 00...
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