pet cremation authorization

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2001 Columbus Avenue • Sandusky, Ohio 44870 • (419) 625-8816 • toftfh.com/pet-services

Pet Cremation Services Dec. 1, 2016 – Nov. 30, 2017

Cremation arranged through the funeral home, performed by Paws & Remember

Basic Cremation Package (includes pickup from a local vet. clinic, cremation, standard urn, cremation certificate)

X-Small (0-15 lbs.) $100.00 Small (16-50 lbs.) $130.00 Medium (51-75 lbs.) $150.00 Large (76-100 lbs.) $180.00 X-Large (101 lbs. +) $200.00 Basic Plus (adds a clay paw print and name engraving) add $50.00 Urn Packages add $175.00 No Return Cremation Service (includes pickup from a local vet. clinic, cremation) (0-199 lbs.) $50.00 (200 lbs. +) $125.00 Other Services (Monday-Friday, 9-5, ≤25 miles) Residential Pickup $25.00 Personal Return $25.00

Name of Pet:

Species:

Weight:

Cremation Package Selected: Other Services/Merchandise: Sales Tax: TOTAL (due up front): ______________________________________________ The Owner hereby authorizes the Funeral Home to arrange the cremation of the remains of the Pet using the services of the Crematory. By signing below, the undersigned represents that he or she is the Owner or the legal representative of the Owner and has the full right and authority to arrange the cremation and the disposition of the cremated remains. _________________________________________ REPRESENTATIVE DATE

_______________________________________ FUNERAL HOME DATE

_____________________________________________________________________________________ Address & Phone Number - Must also sign a Cremation Authorization