Membership Level
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You have selected the
GOLD
membership level.
The price for membership is
R 500.00 per Month
.
Account Information
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Username
Password
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First Name
Last Name
Email Address
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Full Name
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More Information
ID Number
Contact Number
Street Address
Surburb
City
Zip Code
Pet Information
Pet Name
Pet Type:
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Cat
Dog
Exotic
Pet Breed
Pet Coloring
Has this pet been sprayed/nurtured:
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Yes
No
Does this pet have insurance:
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Yes
No
Insurance Name
Insurance Number
Has the pet been Microchipped:
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Yes
No
Microchip Number
Birthday
Jan
Feb
Mar
Apr
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Jul
Aug
Sep
Oct
Nov
Dec
Would you like to add another pet?
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Pet Name
Pet Type:
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Cat
Dog
Exotic
Pet Breed
Pet Coloring
Has this pet been sprayed/nurtured:
Select
Yes
No
Does this pet have insurance:
Select
Yes
No
Insurance Name
Insurance Number
Has the pet been Microchipped:
Select
Yes
No
Microchip Number
Birthday
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Pet Name
Pet Type:
Select
Cat
Dog
Exotic
Pet Breed
Pet Coloring
Has this pet been sprayed/nurtured:
Select
Yes
No
Does this pet have insurance:
Select
Yes
No
Insurance Name
Insurance Number
Has the pet been Microchipped:
Select
Yes
No
Microchip Number
Birthday
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Pet Name
Pet Type:
Select
Cat
Dog
Exotic
Pet Breed
Pet Coloring
Has this pet been sprayed/nurtured:
Select
Yes
No
Does this pet have insurance:
Select
Yes
No
Insurance Name
Insurance Number
Has the pet been Microchipped:
Select
Yes
No
Microchip Number
Birthday
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
NOTE:
if changing a subscription it may take a minute or two to reflect. Please also login to your PayFast account to ensure the old subscription is cancelled.
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