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Dr. Allen will be at your barn on:___________________________________________

Coordinator:___________________________________________________________________

HORSE OWNERS MUST BE PRESENT AT TIME OF SERVICE.        SORRY, WE DON'T BILL

PLEASE: one horse (or 2 miniature horses) per time slot.  Thank you!

TIME (approx.)

HORSE

OWNER

PHONE

+15% IF NO CHECK

1)    9 A.M.

 

       
2)   9:45 A.M.

 

       
3)   10:30 A.M.

 

       
4)   11:15 A.M.

 

       
      BREAK (?)        
5)    12:30 P.M.

 

       
6)    1:15 P.M.

 

       
7)    2:00 P.M.

 

       
8)    2:45 P.M.

 

       
WAITING LIST:
 

 

       
 

 

       
 

 

       

 

DEPOSITS ARE SOMETIMES TAKEN IN ORDER TO RESERVE EACH TIME SLOT.  THESE ARE NON-REFUNDABLE BUT WILL BE APPLIED TO THE DENTISTRY ON THE DATE/TIME RESERVED.  DEPOSITS ARE $50.00 ON UP.  CHECKS SHOULD BE MADE TO DR. TOM ALLEN AND HAVE YOUR HORSE/HORSE'S NAME ON THE CHECK.

TO AVOID LOOSING YOUR DEPOSIT, FIND SOMEONE TO TAKE YOUR APPOINTMENT TIME.

 

 

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