ACC Cremation & Payment Form

719-395-2737

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ACC Cremation and Payment Form

For use only by Animal Care Center staff. If you have any questions, please call AVHS at 719-395-2737.

Name*
First Last
Phone Number*
Email Address*
Address*
Street Address Address Line 2 City State ZIP Code
Pet Name*
Species*
Breed*
Weight*
Color(s)*
Please Select Type of Cremation*
Pricing includes a semi-private cremation, with all pets separated by partitions. Your pet’s individual cremains will be returned to you in a beautiful cedar urn with lock and key. If you have any questions, please call 719-395-2737.
- Extra Small Pet (0-2lbs) ($55)
- Small Pet (3-15lbs) ($105)
- Medium Pet (16-35lbs) ($135)
- Medium Pet (36-50lb) ($165)
- Large Pet (51-75lbs) ($185)
- Large Pet (76-100lbs) ($205)
- Large Pet (101+ lb) ($235)
Please Select Any Additional Services That You Would Like for This Cremation:
Ink Pawprint + Frame Quantity
A custom ink print of your beloved pet's paw print, packaged in a photo frame. Please note that paw prints are hand-crafted items and will be unique to your pet. Some variation may occur if multiple prints are requested, as each is individually hand-crafted.
Price: $40.00
Memorial Brick Quantity
Memorial Paver Bricks, 4”x 8” and laser engraved with a message of your choice (can include three lines of up to 18 characters per line, characters include spaces and/or punctuation - ask veterinary clinic staff for a designated order form to fill out the messaging of your choice). Bricks will be on permanent display in Ark-Valley Humane Society’s Memorial Garden.
Price: $250.00
Private Cremation
By choosing a private cremation, your treasured pet will be the only pet in the cremation unit during the cremation process. There is an additional fee of $150 for this option. Regardless of if you choose a standard semi-private cremation, or a fully private cremation, you will receive solely the cremains of your pet alone.
Mail Cremains to Owner
If you are unable to pick up your pet’s cremains, we can mail them to you for an additional fee of $40.
Ashes Back, No Urn
Ashes will be returned to you inside of a plastic bag only. This option reduces the fee by $15.
No Ashes Back
Your pet will be cremated communally, with no ashes being returned to you. This option reduces the fee by $20.
Pet has replacement hip or pins*
- Yes
- No
Any other notes:
One Time Payment Information
See below for amount due. If you are in need of guidance please call 719-395-2737.
Total Amount Due
$0.00
Credit Card

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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719-395-2737

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ACC Cremation & Payment Form

ACC Cremation and Payment Form

Please Select Any Additional Services That You Would Like for This Cremation:

One Time Payment Information

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