Service Request

You've cared well for your special friend and we offer our heartfelt sympathy to you. Please complete the brief form below to request our service.

We will review your submission and will be in contact with you soon to coordinate logistics based upon your request.

Please enter your contact information so that we can better service you.

Pet Parent's First Name:
Pet Parent's Last Name:
Pet Parent's Address:
Pet Parent's City:
Pet Parent's State:
Pet Parent's Zip:
Phone:
E-mail Address:
Pet's Name:
Pet's Breed:
Pet's Gender:
Pet's Approximate Size/Weight:
Pet's DOB:
Pet's DOD:

Cremation Option:

Will you need us to pick up your pet at your home or will you bring your pet to our facility?

If you are requesting pickup, please indicate your preferred time:

You may upload photos of your pet for our "Pet Memories" section, dedicated to honoring your late pet(s). Please use JPG files only.

Additional Information:

Please type the number 42726:*
(spam prevention)