Information request

Thank you for your interest in MPS.

Caring for pets as much as we do?

Please complete the application below. Once we review your information, an account manager will follow up within 7 days (business days). The submission of this inquiry does not guarantee a customer account. We look forward to learning more about your business and exploring a potential partnership.

Please fill in this form:

I am a ...*
Company name*
Number of practices / hospitals:
Name Main contact*
First Last
Position in the company*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone number*
Website*
VAT-number
What types of products does your company focus on?*
How long has your company been in business?*
Please describe how you sell your products*
In the field above, include websites you sell on (including your own, if so). Do you sell in brick and mortar stores? What is the company name and where are these stores located?
How do you primarily market your products?*
Where is your primary market area located? What continent/country/city?*
How did you hear about Medical Pet Shirts?*
Remarks
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