Contact Form Name* First Last Email Phone*Address* Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Gate Code (If applicable)Pet's Name*Pet's Age*Breed*Color*Approximate Weight*Gender*GenderMaleNeutered MaleFemaleSpayed FemaleDo you want your pet cremated?*Yes and I would like my pets ashes returned to me.Yes but I do not want my pets ashes returned.No, I plan on keeping my pets remains after the appointment.Urn Choice*I would like my pets ashes to be returned in the standard plastic urn (no additional fee)I would like to select an urn for my pets ashes to come back in (additional fee applies)Urn prices are in addition to the euthanasia appointment fees. Urn sizes are based on your pet's weight. To view all our urn styles, please visit our Urn Catalog by CLICKING HERE. This will open in a new tab to keep your place on the form.Urn Styles*Traditional UrnTraditional Urn with AdornmentTraditional Photo UrnTower Photo UrnSteel Vase UrnBrass Paw Print VaseMarble Vase (with Base)Rock UrnLimestone UrnBrass Heart KeepsakeBurial Marker: Laser EtchedGranite Burial MarkerGranite Burial Marker with Gold Aluminum TilePine Hinged Box UrnSheesham Rosewood Urnchoose at another timeWood Type*OakMapleWalnutWood Type*OakCherryWalnutAdornment*PawHeartBoneSteel Urn Color*SilverGoldCopper AntiqueBrass Heart Color*BrassTeal Colored BrassMarble Vase Urn Color*WhiteBlackCaramelHoneyCork*Please Note, Caramel is not available in Large size (51-125 lbs)*Inscriptionthe type will be centered on the engraving plate and it will show up exactly as entered here. 25 characters per line, 3 line max.Inscriptionthe type will be centered on the engraving plate and it will show up exactly as entered here. 22 characters per line, 4 line max.Inscriptionthe type will be centered on the engraving plate and it will show up exactly as entered here. 20 characters per line, 4 line max.SizeDimensions (LxWxH)Pet SizePriceSmall7.75" x 6" x 2.75"0-45 pounds$100Medium7.75" x 6" x 3.75"46-70 pounds$105Large7.75" x 6" x 4.75"71-95 pounds$115X-Large7.75" x 6" x 5.75"96-125 pounds$125SizeDimensions (LxWxH)Pet SizePriceSmall7.75" x 6" x 2.75"0-45 pounds$115Medium7.75" x 6" x 3.75"46-70 pounds$120Large7.75" x 6" x 4.75"71-95 pounds$130X-Large7.75" x 6" x 5.75"96-125 pounds$140SizeDimensions (LxWxH)Pet SizePriceSmall7.75" x 6" x 2.75"0-45 pounds$115Medium7.75" x 6" x 3.75"46-70 pounds$120Large7.75" x 6" x 4.75"71-95 pounds$130X-Large7.75" x 6" x 5.75"96-125 pounds$140SizeDimensions (LxWxH)Pet SizePriceSmall4" x 4" x 6"0-30 pounds$120Medium5" x 5" x 8"31-90 pounds$140Large7" x 7" x 10"91-200 pounds$175SizeDimensions (LxWxH)Pet SizePriceSmall4.0" x 4.0" x 6.0"0 - 40 pounds$50Medium5.5" x 5.5" x 8.0"41 - 100 pounds$60Large7.0" x 7.0" x 10.0"101-160 pounds$75SizeDimensions (LxWxH)Pet SizePriceSmall4" in diameter x 6" H0-30 pounds$135Medium5" in diameter x 7" H31-65 pounds$145Large5.5" in diameter x 8" H66-110 pounds$165X-Large6" in diameter x 10" H110-160 pounds$190SizeDimensions (LxWxH)Pet SizePriceSmall4" x 4" x 7"0-20 pounds$145Medium5" x 5" x 9"21-50 pounds$165Large6" x 6" x 12"51-125 pounds$175SizeDimensions (LxWxH)Pet SizePriceSmall6" x 6" x 5"0-20 pounds$135Medium7" x 6" x 7"0-25 pounds$145Large10" x 7" x 10"26-100 pounds$160X-Large14" x 9" x 14"101-500 pounds$175SizeDimensions (LxWxH)Pet SizePriceMediumapprox. 8" x 6" x 11"0-70 pounds$160Largeapprox. 13" x 8" x 12"71-240 pounds$175SizeDimensions (LxWxH)Pet SizePriceSmall4" in diameter x 6" H0-30 pounds$135Medium5" in diameter x 7" H31-65 pounds$145Large5.5" in diameter x 8" H66-110 pounds$165X-Large6" in diameter x 10" H110-160 pounds$190SizeDimensions (LxWxH)PriceMedium6" x 10" x 2"$145Large8" x 12" x 2"$165X-Large9" x 14" x 2"$175Jumbo10" x 16" x 2"$175SizeDimensions (LxWxH)Pet SizePriceSmall4" in diameter x 6" H0-30 pounds$135Medium5" in diameter x 7" H31-65 pounds$145Large5.5" in diameter x 8" H66-110 pounds$165X-Large6" in diameter x 10" H110-160 pounds$190SizeUrn VolumePet SizePriceSmall40 cubic inches0-32 pounds$40Medium70 cubic inches33-56 pounds$45Large140 cubic inches57-112 pounds$55X-Large165 cubic inches113-132 pounds$65SizeUrn VolumePet SizePriceSmall12 cubic inches0-10 pounds$40Medium30 cubic inches11-26 pounds$50Large70 cubic inches27-60 pounds$60X-Large144 cubic inches61-125 pounds$70Jumbo260 cubic inches126-230 pounds$80Questions or Concerns
