Northdale Veterinary Practice - 48 Victoria Road, Worthing, West Sussex BN11 1XE
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Worthing
48 Victoria Road West Sussex BN11 1XE Tel: (01903) 202474

Register Your Pet

Fill in our new client pet registration form.

Please fill in the form below and click submit for it to be sent to us via email. Fields marked with an asterisk (*) are required fields.

Special online offer! SPECIAL ONLINE OFFER Register as a new client online and receive a voucher*  for 10% off your first visit to the practice.  This will be sent with your welcome letter.   Please allow at  least two working days from registering online before phoning for your appointment to allow details to be processed.    If you use one of the vaccination packages below, then the voucher can be used against neutering your pet instead.  Thank you.  *Please note this voucher can not be used in conjunction with any other special offer. All new clients may choose to have a free health check for their pet with a veterinary nurse.   Once registered you may telephone the surgery to arrange this   We also recommend the following website on pet health which new owners may find of interest.  www.pethealthinfo.org.uk Clients already registered with the practice who wish to add additional pets should telephone the surgery.  Thank you. OTHER SPECIAL OFFERS - EXTENDED TO 31 March 2010 KITTEN AND PUPPY VACCINATION PACKAGES To include:  Full Course of Vaccinations : (Puppies usually at 8 weeks and 10 weeks amd Kittens usually at 9 weeks and 12 weeks) Free Advocate Worm and Flea Treatment : Free 4 weeks Pet Insurance :Free Puppy or Kitten Pack with samples and vouchers Free health check at 6mths (dogs) or  5 mths (cats)  Only £55.00 for puppies (saving over £10.00)   :  Only £64.00 for kittens (saving over £10.00)  Also have your pet microchipped at very special discount price of £15.00 per chip) If done at second vaccination (normal price £26.97)  PAYMENT MUST BE MADE IN FULL AT FIRST VACCINATION TO QUALIFY FOR SPECIAL OFFER PRICE INTRODUCTORY NEW CLIENT DISCOUNT VOUCHER CAN NOT BE USED AT SAME TIME

Please fill in the form below and click submit for it to be sent to us via email. Fields marked with an asterisk (*) are required fields.

How many pets do you wish to register? *

Title: *

Name: *

Surname: *

Address: *

Postcode: *

Home tel no: *

Work tel no:

Mobile tel no:

What is your e-mail address?



Pet's name: *

Pet's D.O.B. / approx age: *

Species (dog / cat / rabbit etc): *

Breed: *

Colour: *


Sex: *
Male Female

Spayed / Castrated: *
Yes No

Insurance company:


Microchip: *
Yes No

ID chip no:



Previous Vet's name:

Previous Vet's phone number:

If your pet was registered under a previous address, please supply this address:


Please confirm that you are happy for us to contact your previous practice in order to obtain your pets records.

Yes, you have my permission to contact my previous practice

Where did you hear about us? *


What has prompted registration with us?

Recommendation Location Website

Special online offer!

SPECIAL ONLINE OFFER Register as a new client online and receive a voucher*  for 10% off your first visit to the practice.  This will be sent with your welcome letter.   Please allow at  least two working days from registering online before phoning for your appointment to allow details to be processed.    If you use one of the vaccination packages below, then the voucher can be used against neutering your pet instead.  Thank you.  *Please note this voucher can not be used in conjunction with any other special offer. All new clients may choose to have a free health check for their pet with a veterinary nurse.   Once registered you may telephone the surgery to arrange this   We also recommend the following website on pet health which new owners may find of interest.  www.pethealthinfo.org.uk Clients already registered with the practice who wish to add additional pets should telephone the surgery.  Thank you. OTHER SPECIAL OFFERS - EXTENDED TO 31 March 2010 KITTEN AND PUPPY VACCINATION PACKAGES To include:  Full Course of Vaccinations : (Puppies usually at 8 weeks and 10 weeks amd Kittens usually at 9 weeks and 12 weeks) Free Advocate Worm and Flea Treatment : Free 4 weeks Pet Insurance :Free Puppy or Kitten Pack with samples and vouchers Free health check at 6mths (dogs) or  5 mths (cats)  Only £55.00 for puppies (saving over £10.00)   :  Only £64.00 for kittens (saving over £10.00)  Also have your pet microchipped at very special discount price of £15.00 per chip) If done at second vaccination (normal price £26.97)  PAYMENT MUST BE MADE IN FULL AT FIRST VACCINATION TO QUALIFY FOR SPECIAL OFFER PRICE INTRODUCTORY NEW CLIENT DISCOUNT VOUCHER CAN NOT BE USED AT SAME TIME


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