Pre-Purchase Exam Information Sheet

Buyer

Present at PPE
Address
Address
City
State/Province
Zip/Postal
Country

For your convenience, our billing department can keep a record of your credit card information (Visa or MasterCard) on file, and bill the card appropriately for services rendered. If payment by credit card is not an option, the doctors will accept cash or check at the time of service. An itemized receipt will be sent or given to you for your records. Monthly billing and payment options are not available forms of payment at this time.

Agent

Present at PPE?

Seller

Present at PPE?

Horse

Gender
Horse Location
Horse Location
City
State/Province
Zip/Postal
Country
Services Requested
Call to schedule an appointment and for any questions regarding fees.

Doctor

Time
: