West Valley School

Fund Raiser 2010 

Guardian Collar Tag Ordering

This form may be used to register your initial pet in either the Guardian or Guardian VIP programs. If you wish to order by phone or register an additional pet, please call 800-APA-PETS (800-272-7387). You will receive confirmation by email and your full membership package in 5 - 7 days.

All information is kept strictly confidential! Your information is never sold, loaned or given to any other organization or business.  Our database even restricts personal information from all employees except supervisors (our staff is very trustworthy, this is merely a high security policy).  Please remember, complete information is important to your pet's safety.

Tell us about your pet!

Pet's Name
Breed
Choose one of the following options:
Choose one of the following options:
Color
Markings
Choose one of the following options:
Medical Information
Your Veterinarian and Facility Name
Their Phone Number

Tell us about you, and your emergency contacts! If this is a gift, please fill in the pet owner's information.

Owners Name:
Second Owner:
Email:
Street:
 
City: State: ZIP:
Phone: 
Cell phone/pager
 
Evening Phone #
Additional contacts are only contacted if your pet is recovered and you cannot be reached. They should be someone that can pick up and/or care for your pet in this event.
Additional Contact(s) Name
Additional Contact(s) Phone Numbers

Select a Membership Option

Product Price
Guardian One Year ($8.00 donated to your school)  $ 22.95
Guardian Lifetime ($15.00 donated to your school!) $ 89.95
Guardian Annual Renewal ($4.00 donated to your school) $22.95 $ 16.95
     
Priority Processing (3-4 business days) $ 4.00

Payment Information

Credit card information
Card type:
Card number: eg: 1234-5678-9012-0000
Expiration: eg: 09/01
Cardholder name:
Discount Code: Only if you have received a specific code from customer service.

Is this a gift? If so please fill out your information if not, click here.

Your Name
Address
City
State
Zip/Postal code
Phone Number(s)

Check to see if all the information is complete then click below to begin your membership.

Copyright © 1996-2010 American Pet Association. All rights reserved.
Revised: 09/16/10

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