OTC Animal Care Products
 
 

Ordering Information * = required field

Your First and Last Name *

Address*
City/ State/ Zip* //
Daytime Phone* ext.
Evening Phone (after 5)

E-mail Address*

 

Merchandise Information * = required field

Pet's Name *

Dog

Cat

Product Name *

Size (if applicable)

Quantity (QTY) *


 
Any additional Comments may be
left in this text box (write as much as you need)

 

Payment Information * = required field

Pick-up or Mail Product(s) *

Pick-up at GFAH

Mail to me


If you want your OTC Animal Care Products mailed directly to you (at the address listed above) there is a $6.78 shipping fee and any applicable sales tax.

For direct mailing
credit card information is required. Please fill out the info below if you want your OTC Animal Care Products sent directly to you.

You will be contacted at the number provided above if there are any problems with the transaction.

If you have decided to pick-up your pet's OTC Animal Care Products please allow 24 hours after submitting this form for the request to be processed.
 

Name on credit card

Type of card

Visa® Mastercard®

Credit Card Number

Expiration Date

I agree to pay the $6.50 shipping fee
(only applicable if mailing)

YES

Would you like to be called or e-mailed with
a total prior to charging?

Call me E-mail me No Thanks

 

Greens Fork Animal Hospital does not ship controlled substances. i.e. torbutrol, phenobarbitol, diazapam among others.
If there is a problem processing your order you will be contacted using the phone number provided above, if a valid phone number
is not provided there will be a delay in receiving your pet's medication.

Greens Fork Animal Hospital
8089 State Road 38
Greens Fork, IN  47345
(765) 886-5191 or (765) 962-4389