VETROB Fax, Phone and Snail Mail Order Form

Print this page, fill in the details and either fax it to 06 3679167,

Or with your Credit Card handy phone 0800 VETROB (0800 838 762),

Or mail to : Rob Bloomfield Veterinary Surgeon, 358 Oxford St, LEVIN, NEW ZEALAND

Or Copy and Paste the details into a new Email to me that will open automatically for you when you click here

Your Name

Your Email Address

Your Postal Address for Delivery

Your Daytime Phone No

Your Credit Card Number

Credit Card Expiry

Amount to charge Card - Work this out below

-----------------------------------------------------------Number Required----Cost--------

Advantage Small Cat - $31.00     
Advantage Large Cat - $33.00     
Advantage Small Dog and Puppy - $31.00     
Advantage Medium Dog (4-10kg) - $33.00     
Advantage Large Dog (10-25kg) - $35.00     
Advantage Dog over 25kg - $37.00     
Drontal Cat Tablets - $2.00     
Drontal Dog Tablets - $3.00     
Drontal Large Dog Tablets - $6.00     
Genesis Horse Wormer - $22.00     

Total .............................................................................................$

Products only available to NZ Addresses

Prices Include NZ GST, and are Freight Free