| Online Pharmacy Refill Submission Form: |
| | |
| Client Name: | |
| Email: | |
| Phone Number: | |
| | |
| Pet Case Number: | |
| Pet Name: | |
| | |
|
| Please select which method you would prefer us to contact you by when your order has been filled: |
| by Phone | |
| by Email | |
| |
| Comments (ie: pick-up time, quantity desired, mailout, etc): |
|
* Please call 612-625-4602 for all questions related to payment.
** Please Allow 3 Business Days for Orders to be Filled. Please phone ahead to ensure your order will be ready. |
| |
|
