Register Your Pet Form

Select all of the services required:

Request An Appointment

Shires Reward Scheme Registration

A few details about yourself:

Title *

First name *

Surname *

Address *

City/Town *

Postcode *

Email *

Telephone

Mobile

Are you a new or existing customer? *

Branch *

A few details about your pet(s):

You can register up to 10 pets using this form. Select the 'Add Another Pet' button to add more pets.

Pet details

Pet's name

Age

Gender

Species

Breed

Colour

Request an appointment:

Preferred date

Preferred time

Reason for appointment

Enter offer code

Shires Reward Scheme registration:

How did you hear about our Shires Reward Scheme? *

Do you have other pets? *

Form submission

Shires Veterinary Practice is part of Linnaeus Group Limited. We will not share this information with other companies for their marketing purposes. For more details on how we use your information please see our privacy policy.

We may use your information to send you reminders about products and services you have already purchased from us by SMS, email or post. These may be sent when your pet is due for a vaccination, flea or worming treatment or when your pet is due for a check-up recommended by your vet.

The personal data submitted via this form will be retained only for the purpose of responding to your question or concern, and will not be used for marketing purposes.

You must be 16 years old or older to submit a form.

If you would not like to receive these reminders please tick here

We would like to send you our newsletters and contact you about promotions which may be relevant to you by post, email and SMS. If you agree to being contacted in this way please tick the relevant boxes;

SMS

Post

I agree to the Privacy Statement *

Captcha *

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