Jodie Keener JBK  LLC  

Boarding Form                                                        Date:_______________

Client Name: ________________________________________________________________________
Address: ___________________________________________________________________________
Home Phone: ___________________________ Work Phone:_________________________________
Cell Phone: _________________________________________________________________________
Email address: ______________________________________________________________________
Emergency Contact___________________________________________________________________


Charges

Board                                         $20.00 daily
Long Term Board                     $400.00 monthly


Boarding and Conditioning   $25.00 daily
Boarding and Conditioning   $500.00 monthly
Flea Preventative                   $10.00 month unless provided by owner
Heartworm Preventative        $10.00 month unless provided by owner




Agent #: 6388 cell: 817-313-1116 email: jbkaussies@yahoo.com
Address: P.O. Box 378 Joshua, Texas 76058
www.jbkworldchampions.com Jodie Keener JBK All Breed Handler LLC 2/10/2010