Who: Adult dogs who are due for vaccine boosters. All dogs must be pre-registered by 5pm on Friday, May 12th. Please bring all previous vaccination records.

What: Low cost vaccinations at a convenient location. Cash or Check ONLY

o Rabies à $12

o Distemper /Parvo/Corona/Leptospirosis à$15

o Bordetella (Kennel Cough) à $9

Where: Prices Creek Vet Service

6799 US 40 East

Lewisburg, OH 45338

When: Saturday, May 20th from 9a – 12:30p Appointments will be scheduled on the half hour, and patients will be seen as they arrive. For more information, call (937) 962-7035 or email us at .

**No physicals will be performed during this clinic. A separate appointment can be scheduled on another date for heartworm testing, annual physicals/labs, illness, injuries, or other concerns. Puppy examinations and boosters will not be performed during the vaccine clinic. **

To reserve your place, fill out the bottom portion of this form and drop it off (or email it) to the clinic by Friday, May 12th. If you plan to bring more than 2 dogs, please fill out 2 forms.

Name:________________________________________________________________________

Street Address:___________________________________________________________________

City/State/Zip Code:________________________________________ Phone:__________________________________

Time of Arrival (circle one): 9am 9:30am 10am 10:30am 11am 11:30am 12p

Dog’s name:_____________________ Age:___________ Breed:________________ Color:__________ Male/Female

Vaccines Requested: Rabies q Distemper/Parvo/Corona q Distemper/Parvo/Lepto q Bordetella q

Dog’s name:_____________________ Age:___________ Breed:__________________ Color:__________ Male/Female

Vaccines Requested: Rabies q Distemper/Parvo/Corona q Distemper/Parvo/Lepto q Bordetella q