Best Friends Pet Crematory - Cremation Authorization Form

                     Cremation Authorization

                           Best Friends Pet Crematory

                    700 8th Street Suite B, Greeley, CO. 80631

                               970-353-7917, 970-613-1973

Date

Owners name:

Address:

Phone number:

Cremation #:

Pet's name:

Sex (Male/Female):

Dog/Cat/Bird/Other:

Breed or Type:

Color:

Age:

Weight:

Charges:

Payment: Cash/ Check or Credit Card:

Number:

Exp. Date:

Signature:

I certify that I am the lawful owner of the above mentioned pet and or I have the legal right to authorize it's cremation from the owner.

Signed:

Return of Cremations: Date:

Signed: