ATTENTION: IN CASE OF EMERGENCY

I, _______________________, have pet(s) that are in

need of immediate attention located at ______________

______________________________________________.

I ask that you please contact at least one of the following

person(s) as soon as possible and provide them with any

information concerning my condition and whereabouts:

Name: ___________________ Phone: ( __) __ .

Name: ___________________ Phone: ( __ ) __ .

Signed: _____________________ Date: ____________