PETtrac Stainless/Brass Tag Order Form

3185 Hamner Ave.
Norco, California 92860-1937
1-800-336-2843
Fax: 951-737-8967
PETtrac Stainless/Brass Tag Order Form
Date:
Contact Information
First Name:
Last Name:
Home Address:
City:
State:
Zip:
Primary Phone:
Pet Information
Pet's Name:
The microchip number can be located on your pets blue collar tag.
If the collar tag is missing or unreadable you can find the chip
number on your microchip certificate or documentation you
received from your veterinarian.
Microchip #:
Tag Information
Choose your Tag:
Choose your Size:
Brass Tag $13.95
Stainless Steel Tag $11.95
Personalized Stainless Steel Tag $18.95
Enter your custom text below to customize the tag label.
Large Tags (1" diameter)
Ideal for medium to large dogs
Small Tags (3/4" diameter)
Perfect for your cat or small dog
Allow 3 lines with 16 characters per
line for large collar tags.
Allow 2 lines with 14 characters per line
for small collar tags.
Fill-out this section if you selected Personalized Stainless Steel Tag from above.
Solid Brass Tag
1st Custom Line:
2nd Custom Line:
3rd Custom Line:
Stainless Steel Tag
Payment Information
Replacement tags can be paid with a credit card, personal check or money order.
Choose Payment Method:
If paying by check or money order you must mail in this form with your
check or money order and make payable to AVID.
Mail check to:
Credit Card #:
Expiration Date:
Signature on Card:
Prices are subject to change without prior notice
Security Code:
AVID
3185 Hamner Avenue
Norco, CA 92860-1937