• Wellness Plan Enrollment

    Veterinarian/Pet Owner Agreement
  • Wellness Plan Monthly Cost

     

    *Feline Plan- $34

    *Small Dog Plan- $46 (up to 25 lbs as an adult)

    *Medium Dog Plan- $48 (25.1-50 lbs as an adult)

    *Large Dog Plan- $50  (50.1-100 lbs as an adult)

    *Extra Large Dog Plan- $52 (101.1-125 lbs as an adult)

    *Giant Dog Plan- $72 (125+ lbs as an adult)

     

     Services Included for Felines:

    Annual Wellness Exam
    Annual Core Vaccinations + Parish Tag
    1 Additional Exam
    12 Month Supply of Prevention
     

    Services Included for Canines

    Annual Wellness Exam
    Annual Core Vaccinations + Parish Tag
    Heart Worm Test
    Fecal
    Additional Exam + Bordetella
    12 - month supply of flea, tick and heartworm prevention.

    PLUS: 10% off all Products and Services (excludes diets,grooming, & boarding)

  • The Pet Owner

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  • Pet Details

    The Pet Owner will pay per pet:
  • Recurring Payment Authorization

  • I,         , authorize Premier Vet Alliance Limited to charge my credit card/bank indicated below, the fees outlined above in this agreement on  the     day of each month for payment of my Pet Care Plan.
    *You can choose a preferred draft date from 1st-15th.

  • 1.1 Upon signing this Agreement, a one-time membership fee in the amount of $35.00 and the first Monthly Fee will be collected. Thereafter, the Monthly Fee will automatically drafted pursuant to the Recurrent Payment Authorization signed by you.

    1.2 You understand that you are responsible for ensuring that the payment has been withdrawn from your account. In the event that the payment has not been withdrawn, it is your responsibility to ensure that the appropriate funds are available the following month to cover the payment.

    1.3 I understand that the authorization will remain in effect for a period of 12 months and will automatically renew for an additional 12 months unless it is cancelled in writing 60 days prior to the anniversary of this agreement, and agree to notify the veterinary clinic in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank or Credit Card Company so long as the transactions correspond to the terms of this  agreement.

    1.4 Total payment for services and products rendered will be due in full if 12 month term is not met.  

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