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Booking A Vetting
Please complete as many of these details as possible.
Your Details
(The Potential Purchaser)
Name:
Mr
Mrs
Ms
Miss
Dr
Address:
City/Town:
County:
Post Code:
Contact Tel:
Email:
Are you already a client of Western Counties Equine Clinic?
Yes
No
The details of the person selling the horse
The person selling the horse is the
Owner
Agent
Dealer
Don't Know
Name:
Mr
Mrs
Ms
Miss
Dr
Address:
City/Town:
County:
Post Code:
Contact Tel:
Email:
Is the person selling the horse a client of
Western Counties Equine Clinic
?
Don't Know
Yes
No
Abbout the Vetting
When would you like the vetting to be carried out?
Would you like to be present at the time of the vetting?
Yes
No
Possibly
Where is the horse to be vetted?
Purchaser's Premises
Seller's Premises
OTHER
Don't Know Yet
If OTHER then please complete these details below telling us where the horse will be:
Address:
City/Town:
County:
Post Code:
Contact Tel:
Yard Tel:
Are there any additional tests that you require?
We require the following facilities for a pre-purchase examination.
Is there a Dark Stable?
Don't Know
No
Yes
Is there a hard, straight, flat area for trot up?
Don't Know
No
Yes
Is there an area for exercise?
Don't Know
No
Yes
If the horse is backed, is there someone who will be able to ride it?
Don't Know
No
Yes
About the Horse
Name:
Age:
Sex:
Type:
Colour:
Approx Height:
Expected Use:
Do you have any other comments about the horse or the vetting? This might include:
Concerns about the horse
Any veterinary history you know about the horse
Any competition results you know about the horse
Any directions that may help us find the yard where the horse will be vetted
If you have not used Western Counties Equine Clinic before,
how did you find out about us?
Please tick this box to confirm that you are the potential purchaser
Copyright WCEC 2007