"*" indicates required fields NameThis field is for validation purposes and should be left unchanged.Please complete all form fields and click submit to send the form information to us. Your order is not confirmed and/or available for pick-up until you receive a reply from us. Please allow one working day for most orders to be ready for pick-up. Certain orders may require extra-time for special-ordering or back-ordering. Online RX/Food ordering is only available for pets we have seen, and prescriptions that have available refills.Your InformationName*Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Best phone number to call if we have a questionEmail* What is the best way to contact you? Email Phone Pet InformationPet NameSpecies Dog Cat Refill InformationName of drug/dietdrug example: Thyroxine diet example: Sci Diet Feline c/dDrug Strengthdrug example: 0.3 mgQuantitydrug example: 100 tablets diet example: 20 lb bag
