Go From Tear To Clear®
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Vets

VETERINARIAN REQUEST FORM

We offer special pricing programs for Veterinarians.
If you are a Veterinarian please fill out the form below and we will contact you regarding our breeder pricing.

* All fields are required except Fax *
If you are not in the United States please use the comment area at the bottom for your mailing/shipping address and additional contact information. Thank you.

To see our new MAP Policy click HERE

Your Re Sale Number (required)

Business Name (required)

Contact Name (First & Last) (required)

Your Email (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Phone Number (required)

Fax Number (required)

Breeds you work with

Please use this area if you have any special questions or comments for us.

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