[_private/navbar.htm]
APA Good Neighbor Program   

Members Only  Form

This secure form may be used by active APA Members to request support for a neighbor pet problem.  Currently this service is limited to the United States.

If you are not sure if you are a member, please use our non member form.  If it turns out you are a member, we will refund you appropiately.

All information is kept strictly confidential! Your information is never disclosed to the pet owner in question or sold, loaned or given to any other organization or business.  

Tell us about your neighbor's pet and the problem

Complete information is essential however leave blank if you do not know.

Pet's Name
Breed
Choose one of the following options:
Choose one of the following options:
Color
Markings
Choose one of the following options:
Describe the problem.  Please be to the point.

Examples:
Using the bathroom in my yard 5 times a week
Barking for 2 hours every day

Then add any important details.

Tell us about the owner of this pet.  Leave blank if you do not know, but a name is very important.

Owners Name:
Second Owner:
Street:
 
City: State: ZIP:
Phone:

Select your program Options

Product Price
Good Neighbor Program (over 30% member discount)  $15.95
$10.95
Follow up report (we send you a report of results in 30-60 days) $ 5.95
Priority Processing (First contact is 3-4 business days) $ 6.95

Payment Information

If you prefer to pay by PayPal, click here.  You will be given instructions after you complete this form.

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.

Please fill out your information.  Must be the same as the credit card you are using.

Please enter your membership #,
not your activation code.

Your APA Membership Number

Membership number must be included
or form will not be processed.  If you do
not have your number, please call
Member Services at 800-272-7387
Your Name
Email
Address
City
State
Zip/Postal code
Phone Number(s)

Check to see if all the information is complete then click below to place your order.

 

Copyright © 1996-2004 American Pet Association. All rights reserved.
Revised: 09/05/07