Register

As our customer registration process involves agreeing to terms and conditions, this form must be completed by an individual within your practice who is able to accept responsibility for this. For example, a member of senior management, a director or partner, or owner.

Practice Details

Practice Name

Practice RCVS Number

Address Line 1

Address Line 2

Town City

Postcode

Telephone

Name of corporate group (if applicable)

VAT status

Exempt

I have a VAT number

VAT number

Please provide upload a copy of your certificate No file chosen

Type of practice (tick all that apply)

General Practice

Veterinary Referral Hospital

University

Veterinary Hospital

Emergency Clinic

Other (specify below)

Would you like to sign up to receive our customer newsletter?

Yes

How many vets are there within your practice?

Main veterinary surgeon contact

Please provide the name and RCVS number of the veterinary surgeon within your practice who will be responsible for your blood products.Our license requires us to hold this information on file for every practice.

First Name

Last name

RCVS number

Invoicing

Pet Blood Bank will send invoices and statements to the above address unless otherwise requested. If you would like your invoices and statements sent to an alternative address or email, please complete the section below.

Contact Name

Company Name

Address Line 1

Address Line 2

Town/City

Postcode

Telephone

Online ordering

The best way to order blood products is by using our online ordering system. Please create a login for your practice. These details can be shared with those in your practice who are responsible for ordering blood products and consumables.

Name

Password

Confirm password

Register an Account (Step 1)

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