Register My Pet

Registration Form

Please fill in the form below.
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Email*
example@example.com
Pet Information

Please give as much information as possible
Date Of Ownership*

MonthDayYear
Date
Name Of Pet 1*
Species*
Sex Of Pet*
Breed Of Pet*
Color Of Pet*
Please give color of pet with any markings
Microchip#
Pet Passport #
If applicable
Tattoo ( if any)
Pets Date Of Birth

MonthDayYear
Can be an approx Date
Pets Picture

Browse Files
Please make sure you have a clear picture of your pet. This can be added to an ID Card or our database. Cancelof

By signing this form you agree to International Pet Registry to :

Charging your credit card for the fee requested by you and that you have read and agreed to the terms and conditions provided below.

You also agree to

1. International Pet Registry acting on your behalf by contacting local authorities and organizations regarding your pet in the event of your pet becoming lost, found,involved in a disaster or releasing medical information of your pet and owner information. This could be to Livestock Investigator Services, Local Police Departments, Veterinary Clinics, Bylaw Enforcement, Animal Control and Shelters

2. You also agree that you are the legal owner of said animal and that the registrant understands that International Pet Registry holds no responsibilty for false claims and information given about ownership and pet.
Please Tick *

I have read and understood the agreement

My Products*

Lifetime Registration$30.00

No monthly or yearly fees

Add Extra ID Cards for you and your Pet$15.00

Our Custom Made Wallet sized ID Cards are great for proving ownership and having all of your pets information safely in your wallet.Have them where they are needed

Quantity
Item subtotal:$0.00

Add Certificate For Mailing$15.00

Our Certificates will be mailed out to your home. They come laminated for protection. Some customers even frame them!

Quantity

Subtotal $0.00Shipping $0.00Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Registration Form

Pet Information