Eye Test Booking

All testing will be carried out by Lorna Newman BVM&S Cert VOphthal MRCVS

The testing for this year is £50 including a small club admin fee and will be payable in ADVANCE by bank transfer

Once your form is completed and submitted - you will be contacted by our Janye Beharrell with a designated time slot.

If you have any queries please do not hesitate to contact her on coltonhallfarm@gmail.com (07944 344783)

Gonioscopy testing WILL be available if required

This Clinic is available to non-club members

Venue

Eva's Cottages

Bellamour Lane

Wilmour Farm

Colton

WS15 3LP

What3word: stray.nest.priced

Payment will be required in advance to:

DOVE VALLEY WORKING GUNDOG CLUB

Account number: 00705632

Sort Code: 30-91-47

Applications will NOT receive an email confirmaiton however will recieve confirmation from Janey Beharrell in due course

Name:

Email:

Contact Number:

Address:

Time Preference (AM/PM):

Vet:

Vet Email:

Vet Address:

Number of Dogs:

KC Name:
Microchip Number:
KC Number:
Breed:
Sex:

DOB:
Last Tested:
Colour:
Owner:

Notes: