InfoPET^®

Thank you for registering your pet with InfoPET's National Pet Registry.

You will receive a letter in the mail in approximately 1-2 weeks,

confirming the following pet registration information, along with an

individualized brass collar tag for your pet.

If you wish to have an immediate record, please print this page.

If you have entered any information incorrectly, please send an e-mail with the

Microchip ID Number and the corrected information to [email protected].

Or phone (952-890-2080) or fax (952-890-2054) us with the corrected information.

-----------------------------------------------------------------------------------------------------------------------------

InfoPET/Trovan/AKC/HomeAgain/Other Microchip #:

AVID Microchip #:

ISO Microchip #:

Pet's Name:

Date Microchipped:

Species:

Breed:

Sex:

Color:

Date of Birth:

Spayed/Neutered?:

Date of Last Rabies Vaccination:

Medical Information:

Pet Information:

Pet Parent Name:  

Address:

City/State/ZIP: ,  

Daytime Phone: --

Evening Phone: --

Cell Phone: --

Other Phone: --

E-Mail Address:

Password for Internet Access:

Alternate Contact Name:  

Alternate Contact Daytime Phone: --

Alternate Contact Evening Phone: --

Alternate Contact Other Phone: --

Veterinary Clinic Name:

Veterinary Clinic Phone: --

Credit Card:     ---        Expiration:

Credit Card Verification Code: 

Name on Credit Card:             Billing Address ZIP Code:

Registration Fee: $

Microchip number(s) of pet(s) already registered with InfoPET:

Pet 1     Pet 2      Pet 3      Pet 4 

Thank you for registering with America's longest operating pet recovery system -- InfoPET^®

Copyright © 2013 InfoPET^®