Full Name (Required)*

This field is mandatory

Phone Number (Required)

Email Address

Full Address ( including postcode) ( Required )

Pet Name ( Required )

Species (dog, cat, rabbit, other)

Weight ( Required )

Health concerns / Current condition

Preferred Time ( Morning / afternoon / evening / any )

Urgency ( Routine / within 24h / same day if possible )

Aftercare preference

Individual cremation ( ashes returned )

Collection & no return of ashes

I will arrange aftercare myself

I am the legal owner or authorised agent and request an in-home euthanasia visit for my pet.

I agree to be contacted regarding this booking request and understand the visit is confirmed only after AANDR TERRAVERS replies.

I agree to the processing of my data according to AANDR TERRAVERS Privacy Policy.

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.*

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Telephone: +447301968127

24/7 Emergency Phone & WhatsApp : +447301968127

E-mail: terravers@yahoo.com

Address: 24 The Limes, Kingsnorth, Ashford, Kent, TN23 3NX