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VIP Health Club Application Form

Enrol your pet today it is easy.

  • You can call into our Wollaston Clinic 59 Mortlake Road Warrnambool and fill out a form
  • Ring us on 5561 6911 and we can fill in the form for you
  • Complete the form below and hit the submit button

I would like to enrol my pet in the Very Important Pet Health Club

    Pet's Name:
    Breed:
    Weight:
    Age:
    Birthday:

    Details of pet owner
    Owner's Name:
    Client Number (if you are a client of The Vet Group:
    Mailing Address:

    Telephone:
    Email:

    Payment Details
    Please contact me to organise my
    Monthly Payments of $45Annual Payment

    Please organise to have my pet's records transferred to The Vet Group
    YesNo

    Name of previous vet clinic:

    I have read and agree to the Terms and Conditions Yes