Equine & Exotic Transportation - Wishing Well Arabians Contact Us - Trip Confirmation

Home About Us Our Policies And Procedures Contact Us -Transportation Request/Quote Contact Us - Trip Confirmation Tips For Shipping Your Horses Guest Book - Comments Related Links		Please fill out the form below to CONFIRM your Transportation Request and provide us with your trip, contact and billing information.  Thank you and we look forward to working with you. Your Name: Email Address: Phone: Date of Departure: Pick Up Point (City, State, ZIP) Point of Contact at Pick Up Point (Name, Phone #): Destination (City, State, ZIP) Point of Contact at Destination (Name, Phone #) #1 Horse/Animal Description #2 Horse/Animal Description #3 Horse/Animal Description #4 Horse/Animal Description #5 Horse/Animal Description Is Coggins completed on all horses (give date of Coggins)? If not, when will Coggins be completed? Is Health Certificates completed on all horses (give H/C dates)? If not, when will HC be completed? Comments/Special Requirements Person responsible for Payment Will payment be made at pick up point or at destination? Method Of Payment - Please check box below which payment method you will use. Credit Card - Visa (plus 3 1/2% processing fee) Credit Card - Mastercard (plus 3 1/2% processing fee) Credit Card - American Express (plus 3 1/2% processing fee) Check Cash - 3% Discount on transport fee (exluding layover fees)