Animal Dental Specialists of Upstate New York Payment

Animal Dental Specialists of Upstate New York

Animal Dental Specialists - Surgery Appointment Deposit

Hello! A deposit of $500 is required to reserve a surgery appointment. If you cancel or reschedule your pet's appointment less than two weeks before the surgery date, this deposit is forfeited.

Phone

Patient Name

Surgery Date

Card Details

Cardholder Name

Credit Card Number

Expiration Date

CVV

Billing Address

Address

City

State or Territory

ZIP Code

Total

$500.00