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Telephone Order Line:
020 7483 1118
Mon-Fri 10.00am to 5.00pm

Shipping Information:
Name	*
Email:	*
Phone Number:	*
Address:	*

Town/City:	*
County:	*
Postal Code:	*
Implanter Code	(only required if purchasing microchips or starter kits)
Billing address the same as Shipping address?	(Tick if yes)

Buddy Buying Power :
You can now SHARE your order with ONE other Implanter (only applies to orders of 100 microchips). Please enter your Buddy's Implanter Code in this box (not their name). Order will be sent to YOU:

Payment Information:
Card Type:	*
Card No:	* (no spaces)
Start Date:
End Date:	*
Issue Number(Maestro only):
Security No. (last 3 digits on signature strip on reverse of card):	*
Country	*
Telephone Number	*
	* = required field

PLEASE CHECK THE DETAILS ABOVE CAREFULLY BEFORE CONFIRMING YOUR ORDER

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0207 483 1118 or
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