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Place an order
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Neighbourhood Pet Clinic Order Form
Product Order Form
Please use this form to submit an order request of your furry family member.
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Client Type:
*
New Client
Existing Client
Name
*
First
Last
Email
*
Phone
*
Name of Furry Family Member
*
Requested Product
*
Food
Prescription
Other
If you chose Other, please specify
Product Name
*
Quantity
*
Optional: Upload a photo of your product or prescription label to be refilled.
Drag & Drop Files,
Choose Files to Upload
Pick-up options
*
Free Delivery in London & St. Thomas (recommended)
Clinic Pick-up
Pick Up Location
*
Westmount (Wonderland Rd. S)
North London (Oxford & Waterloo St)
Sunningdale (Sunningdale & Richmond St. N)
Blue Cross (Wharncliffe Rd. S)
Delivery Instructions/Buzzer Number
Email
Submit