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Payment Description / Invoice Number (if applicable)

Amount to pay (e.g. 10.99)

First Name

Last Name

Your pet's name

Contact Email Address

We'll only use this email address to send you a confirmation of your payment

Contact Number

We'll only use this number in the case there is a problem with your payment

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Practice information

Orchard Veterinary Surgery

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Emergency Details

Please call:

0845 223 4492

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Find us here:

121a The Hundred Romsey Hampshire SO51 8BZ

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Please call this number for emergencies:

0845 223 4492

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