A Sample Practice – Premier Vet Alliance

Welcome to A Sample Practice’s Pet Care Plan!

We are pleased to provide your pet with the preventive healthcare they deserve – all with the convenience of a predictable monthly subscription fee, and special savings built in.

Sign up today, and enjoy the benefits right away. Monthly fees are based on pet species and weight, plus a one-time sign-up fee of $50. The plans are a 12 month contract that will auto renew unless canceled upon renewal.

Wellness Plan Monthly Cost:

*Cat Plan- $50/month

*Small / Medium Canine- $63/month (0-50lbs as an adult)

*Large / Extra Large Canine – $65 / Month ( 50.1-100lbs as an adult)

*Giant Canine Plan- $67/month (100.1-135lbs as an adult)

***SAVE on PREVENTIVE CARE!!!!***

Included in Plans:

Annual Wellness Exam
Annual Recommended Core Vaccinations
Annual Fecal Exam
Canine includes Annual Heartworm Test
6 month Wellness Exam ( Canine Bord Vx)
12 -month supply of Flea, Tick and Heartworm Prevention

PLUS: 20% off Dentals; 2 free non sedated nail trims

10% off bloodwork / additional vaccines / spay or neuter

Pet Details

Pet name*

Date of Birth*

If you don’t know your pet’s age, please provide a considered estimate.

Gender*

Female
Male

If your pet is under one year of age, please select a plan that reflects your pet’s estimated adult weight.

Please note that Home Delivery options are not available for pets younger than 6 months.

I would like my products delivered to my home after my initial vet visit.

Please select the correct plan below

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Check the pet details below and click proceed.

Pet Owner Details

I already have a pet on plan, find my details

First name*

Last name*

Zip code*

Email address or Existing pet plan pet name*

OR

I am new to pet plans

Title*

First name*

Last name*

Phone*

Email address*

Address Line 1*

Address Line 2

City*

State*

Zip code*

Payment Details and Payment Collection Schedule

Please choose your draft date for your reoccurring payments to be taken, and add your payment account details. If you have an ACH (checking/savings) account, we will attempt this account first, and will use any additional credit or debit card as a backup payment option.

Payment Schedule

The first payment to activate your pet plan(s) will be taken after the confirmation page.

Regular monthly payment on

* of the month.

Payment Details validation

Confirm details

Your first payment, including the one-time membership fee, will be taken after confirmation and will activate your plan. Regular payments will be taken on your chosen payment day starting from the following month.

Please confirm the following details are correct.

Pets

Your details

First Collection(s) to be charged today

I have read and understand the terms & conditions of this agreement I can confirm that I am the account holder and the only person required to authorize payments on this account I understand upon submission of this agreement, the first payment fees outlined above will be debited from my account

Thank you

Thank you!

What’s next?

Your pet is now a member of A Sample Practice’s Pet Care Plan.

A confirmation email with your plan enrollment details will be sent to the email provided.

If you have an appointment booked, we look forward to seeing you soon.

If you need to book an appointment, please contact us.

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