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First name
Last name
Phone Number
E-mail
Street Address
Zip code
Dog name
Breed
Size
Extra small (under 10 lbs)
Small (over 10 lbs)
Medium (over 20 lbs)
Large (over 50 lbs)
Extra Large (over 95 lbs)
Services
Bath Only (XS) - $80
Bath Only (S) - $90
Bath Only (M) - $120
Bath Only (L) - $140
Bath Only (XL) - $150
Grooming Service (XS) -$110
Grooming Service (S) - $120
Grooming Service (M) - $170
Grooming Service (L) - $190
Grooming Service (XL) - $200
VIP Package (XS) - $120
VIP Package (S) - $130
VIP Package (M) - $180
VIP Package (L) - $200
VIP Package (XL) -$210
Preferred date
Date is flexible
Yes
No
Anything to add?
Special Shampoo
Sensitive Skin
Allergies
Medical conditions
Impairments
Hard of hearing or seeing
Important notes
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