Primary Caregiver *

First Name

Last Name

Phone (mobile number preferred) *

(###)

###

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Preferred Method of Contact *

Select all that apply

Call

Text

Email

Appointment Address *

See our Contact Page for coverage area if outside of Winnipeg.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Assistance to Vehicle

Our veterinarian will require assistance from someone in the home with all pets over 32lb (15kg). Please let us know if there is not someone physically capable so we can arrange assistance. Dogs over 90lb (41kg) will require pickup from your home by the crematorium. Select all that are applicable.

Assistance required (pet between 32-90lb) [$75]

Crematorium pickup required (pet over 90lb) [$110]

No additional assistance required

How Did You Find Us? *

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Previously Used Sunset

Vet Referral

Friend or Family

Social Media

MB Pet Expo

Other

By checking this box I am aware this is a request and I will be contacted by Sunset Vet Care to schedule an appointment *

Yes