Replacement Tag Order
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Pet's Name
*
Pet's Microchip #
*
**** last 4 of 15 digit #
Pet's Breed
Pet's D.O.B.
*
-
Month
-
Day
Year
Date
Pet's Tag ID #
*
(If tag is lost, see pet's in-app profile for #)
Reason for exchange
*
Please Select
Tag is damaged
Tag is lost
Please Upload Image of Tag if Damaged
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
*
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( X )
Large Tag
Perfect for pets 20 lbs. or more.
$
Free
Small Tag
Perfect for pets under 20 lbs.
$
Free
Shipping & Handling Fee
$
10.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: