Veterinary Practice Animal Collection Request

Eternal Tides intends to make regular pickups to the FMWF area veterinary practices in the future. As this is a new service and new technology, here is a tool for practices to request an on-site pickup of animals. Please complete this form to begin the process. Eternal Tides will follow-up within one business day for confirmation.

Veterinary Practice Name

Requesting Party Name:

First Name

Last Name

Requesting Party Email:

Date for Requested Pick-Up

MM

DD

YYYY

Last Name of Family

Animal Name

Species

Canine

Feline

Other

Estimated Weight of Animals

Communal/Individual

Communal

Individual

Tracking #

Tracking for individual aqaumation only

Return to Customer

For individual aquamation only