Identipet Office
Email: info@identipet.com
Tel: (011)957-3455/6
Fax: (011)957-2784
Alt Fax: 086 671 9189
Cell-emerg: (082)957-3455

.pdf file Map to Identipet Offices


Dr. Bruce Finnemore
Email: bruce@identipet.com
Cell: (082)610-0323

Registration form

 

 

Kindly remember to post the original Identipet registration form (top, white copy) to us at P O Box 215, Lanseria, 1748.


Owner Name:
ID Number :
Residential Address :


Postal Address :


Home Tel :
Work Tel :
Cell 1 :
Cell 2 :
Fax :
E-Mail:
Animal 1
Chip ID :

Year of birth:

Animal Name :
Species:
Kennel Name :
Sterilized:
Description:
Gender:
Breed:
Implant Date:
Animal 2
Chip ID :

Year of birth:

Animal Name :
Species:
Kennel Name :
Sterilized:
Description:
Gender:
Breed:
Implant Date:
Animal 3
Chip ID :

Year of birth:

Animal Name :
Species:
Kennel Name :
Sterilized:
Description:
Gender:
Breed:
Implant Date:

 

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